Tomato scenario details

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Invoice for treatment for client from Apple claim scenario. Invoice will have an error within the invoice details so that the invoice submission fails and can then be queried as part of the Invoice Query scenario.

Patient:                                          Andrew Apple
DOB:                                               27/03/1945

Claim:                                            QQ00014
Accident Date:                             20/11/2017

Invoice Line Details
Service Code:                              GP1 (Or whichever code your provider type uses)
Contract ID:                                 80 (or whichever contract ID your provider type uses)
Service Date:                               01/01/2100 - Error condition
Billing Method:                           Units
Units Claimed:                            1
Invoice Amount:                         31.53 (or the amount for the service you have chosen)
Invoice Comment:                     Test invoice for avocado scenario
Purchase Order number:         Empty

 

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