Patient Details

Control Name

Type

Description

Find patient

text field + [...] selection button

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

Payer ID

text field + [...] selection button

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

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

Patient insurance card number for the specified payer.

Insurance plan

drop-down

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.

First name

text field

Patient first name, free text.

Last name

text field

Patient last name, free text.

Gender

drop-down list

Patient gender.

Possible values:

• Male;
• Female.

Birth date

date picker

Patient birth date.

Emirates ID

drop-down list

Patient Emirates ID.

Possible values:

• National without a card;
• Expatriate resident without a card;
• Not national, not expatriate resident without a card;
• Unknown status, without a card;
• a value in the format NNN-NNNN-NNNNNNN-N entered manually.

Nationality

text field + [...] selection button

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

Patient mobile number.

Work tel.

text field

Patient work phone number.

Home tel.

text field

Patient home phone number.

Address

text field

Patient address or addresses, free text.