Pumpkin scenario details

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Invoice for treatment for client from Banana claim scenario

Patient:                                               Barry Banana
DOB:                                                   (03/06/1950)

Claim:                                                 QQ00018
Accident Date:                                   20/11/2017

Invoice Line Details
Service Code 1:                                 GP1 (Or whichever service code your provider type uses)
Service Code 2:                                 MB3 (Or whichever service code your provider type uses)
Contract ID:                                       80 (or whichever contract ID your provider type uses)
Service Date:                                     Yesterdays Date
Billing Method:                                 Units
Units Claimed:                                  1
Invoice Amount:                               31.53(GP1) + 30.97(MB3) (or the amount for the service you have chosen)
Invoice Comment:                           Test invoice for Pumpkin
Purchase Order number:               Empty

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