No.
Control Name | Type | Default Value / State | Mandatory | Description |
Find |
patient | text |
field + [...] selection button | empty / enabled | No | Patient information used to search for a patient. |
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. |
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
empty / disabled | Yes | Unique identifier of a patient in Greenrain Facility database. Assigned automatically, always disabled. | ||
Payer ID | text field + [...] selection button | empty / enabled | No | The insurance company that pays the claim. 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. |
If a payer is not in the list of licensed payers, the user can enter '@' followed by the name of the payer in the field. | |
TPA ID | text |
field + [...] selection button | empty / enabled | No | The third-party administrator that processes the claim. |
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. |
Member ID | text field | empty / enabled | No | Patient insurance card number for the specified payer. |
6
Cover Plan
Insurance plan | drop-down | empty / enabled | No | Cover plan for the specified payer. |
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 – the new plan will be added to the list. |
MRN | text field | empty / enabled | No | Unique identifier of a patient on the provider side. |
First |
name | text field | empty / enabled | No | Patient first name |
, free text. |
8
Last |
name | text field | empty / enabled | No | Patient last name |
, free text. | ||||
Gender | drop-down list | empty / enabled | No | Patient gender. |
Possible values:
|
|
Birth |
date | date picker | empty / enabled | No | Patient birth date. |
Emirates ID | drop-down list |
Unknown status, without a card. / enabled | Yes | Patient Emirates ID. Possible values: |
|
|
|
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| |
Nationality | text |
field + [...] selection button | empty / enabled | No | Patient nationality. |
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. |
Mobile | text field | empty / enabled | No | Patient mobile number |
. |
Work |
tel. | text field | empty / enabled | No | Patient work phone number |
. |
15
Home |
tel. | text field | empty / enabled | No | Patient home phone number |
. |
16
Address | text field | empty / enabled | No | Patient address or addresses |
, free text. |