Self Pay Charge Itemization (Super Bill)

Go into the Billing tab -> Reports -> Charge Itemization:



You will then get a screen where you have to input the following information: *All fields marked with a red asterisks are required.

  • Yellow- Patient *REQUIRED
  • Green- Case (insurance) *REQUIRED
  • Purple- Status: All, Open, Closed Orders (General Store)
  • Orange- Start Date *REQUIRED
  • Blue- End Date *REQUIRED
  • Pink- Additonal notes you want to appear on the charge itemization
  • Brown- Exclude Adjustments: If on adjustments will not be printed
  • Red- Submit



When you click submit you will then get a PDF that will show detailed information about this patient
(Dates of Service, CPT codes, all Charges, Adjustments, Insurance/Patient payment)
b1919c1d23730d1743338dc113b04408.png

If you need additional assistance, please email Support@Heno.io