Potato scenario details

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Invoice for treatment of clients from Chocolate and Apple claim scenarios

Patient 1

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

Claim:                                                                         ZA00504
Accident Date:                                                          30/09/2017

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:                                                            Today's date
Billing Method:                                                        Units
Units Claimed:                                                         1
Invoice Amount:                                                      31.53 (or the amount for the service you have chosen)
Invoice Comment:                                                  Test invoice for Potato scenario - Client 2
Purchase Order number:                                      0000111

Patient 2

Patient:                                                                    Andrew Apple
DOB:                                                                        (27/03/1945)

Claim:                                                                      QQ00018
Accident Date:                                                       20/11/2017

Invoice Line Details
Service Code:                                                         MEDR (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:                                                       time
Hours Claimed:                                                      1
Minutes Claimed:                                                  30
Invoice Amount:                                                    247.50 (or the amount for the service you have chosen)
Invoice Comment:                                                Test invoice for Potatos  - Client 2
Purchase Order number:                                    5006020