No. | Control Name | Type | Description |
1 | Find patient | text field | Patient information used to search for a patient. Default value: empty. The user can type it manually (e.g. a part of patient name, Member ID, Patient ID) and press Enter key or they can select it from the list which opens by pressing […] button. Patient details load to Patient details tab. |
2 | Patient ID | text field | Patient unique identifier. Default value: empty. Patient ID is not editable, it is assigned with new patient saving. |
3 | Payer ID | text field | The insurance company that pays the claim. Default value: empty. Format: code: company name. |
The user can type it manually (e.g. a code) and press Enter key or they can select it from the list which opens by pressing […] button. | |||
4 | TPA ID | text field | The third-party administrator that processes the claim. Default value: empty. Format: code: company name. |
The user can type it manually (e.g. a code) and press Enter key or they can select it from the list which opens by pressing […] button. | |||
5 | Member ID | text field | Patient insurance card for the specified payer. Default value: empty. |
6 | Insurance plan | drop-down | Cover plan for the specified payer. Default value: empty. When the user sets Payer ID, |
Insurance plan drop-down fills automatically with custom values for this payer. |
The user can select a plan from the list or type another one – a new plan will be added to the list. | |||
7 | First name | text field | Patient first name. Default value: empty. |
8 | Last name | text field | Patient last name. Default value: empty. |
9 | Gender | drop-down list | Patient gender. Default value: empty. Possible values: Male, Female. |
10 | Birth date | date picker | Patient birth date. Default value: empty. |
11 | Emirates ID | drop-down list | Patient Emirates ID. Default value: Unknown status, without a card. Possible values: |
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12 | Nationality | text field | Patient nationality. Default value: empty. Format: nationality: country. |
The user can type it manually (e.g. a code) and press Enter key or they can select it from the list which opens by pressing […] button. | |||
13 | Mobile | text field | Patient mobile number. Default value: empty. |
14 | Work tel. | text field | Patient work phone number. Default value: empty. |
15 | Home tel. | text field | Patient home phone number. Default value: empty. |
16 | Address | text field | Patient address or addresses. Default value: empty. |