Eggplant scenario details

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Invoice for treatment of client from Chocolate claim scenario for a claim that has not been received by ACC. This invoice will be used for your invoice query scenarios so you can see invoices which are in a pending status.

Patient:                                                         Chip Chocolate
DOB:                                                             (01/01/1985)

Claim:                                                           Use a number from your allocated ACC45 number range which has not been submitted yet.
Accident Date:                                            Yesterday's date

Invoice Line Details
Service Code:                                             GPN (Or whichever code your provider type uses)
Contract ID:                                                80 (or whichever contract ID your provider type uses)
Service Date:                                              Today's date
Billing Method:                                          units
Units Claimed:                                           1
Invoice Amount:                                        34.48 (or the amount for the service you have chosen)
Invoice Comment:                                    Test invoice for Eggplant scenario
Purchase Order number:                        Empty

Provider:                                                    Your Test Provider ID/Profile
Vendor:                                                      Your Test Vendor ID/Profile
Declaration Date:                                     Today's date