Medical Invoices Template

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Template Features

• Patient information and demographics
• Medical provider details
• Billing information and payment terms
• Medical services and procedures
• Insurance coverage and patient responsibility
• Diagnosis codes and medical terminology

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Usage Example

{
  "fileExtension": "pdf",
  "docuType": "InvoiceMedical",
  "fileData": "base64-encoded-medical-invoice-data"
}

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Response Format

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Patient Information

• Patient Name: Full name of the patient
• Patient ID: Unique patient identifier
• Date of Birth: Patient’s birth date
• Contact Information: Phone number and address

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Medical Provider Details

• Provider Name: Hospital, clinic, or medical facility
• Provider ID: Unique provider identifier
• Address: Complete provider address
• Contact Information: Phone and email

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Billing Information

• Invoice Number: Unique invoice identifier
• Service Date: Date of medical services
• Due Date: Payment deadline
• Total Amount: Total cost of services
• Insurance Coverage: Amount covered by insurance
• Patient Responsibility: Amount patient must pay

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Medical Services

• Service Description: Medical procedures performed
• CPT Codes: Current Procedural Terminology codes
• Service Amount: Cost of individual services
• Diagnosis Codes: ICD-10 diagnosis codes

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Sample Response

{
  "status": "success",
  "data": {
    "document": {
      "patientInfo": {
        "name": "John Smith",
        "patientId": "P12345",
        "dateOfBirth": "1985-03-15",
        "contactNumber": "+1-555-0123"
      },
      "medicalProvider": {
        "name": "City General Hospital",
        "providerId": "H789",
        "address": "123 Medical Center Dr, City, State 12345"
      },
      "billingDetails": {
        "invoiceNumber": "INV-2024-001",
        "serviceDate": "2024-01-15",
        "dueDate": "2024-02-15",
        "totalAmount": 1250.00,
        "insuranceCoverage": 1000.00,
        "patientResponsibility": 250.00
      },
      "medicalServices": [
        {
          "service": "Cardiology Consultation",
          "code": "99204",
          "amount": 350.00
        },
        {
          "service": "EKG Test",
          "code": "93000",
          "amount": 150.00
        },
        {
          "service": "Blood Work",
          "code": "80048",
          "amount": 750.00
        }
      ]
    },
    "confidence": 0.95
  }
}

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Supported Medical Invoice Types

• Hospital Bills
• Doctor’s Office Invoices
• Laboratory Test Bills
• Imaging Service Invoices
• Pharmacy Bills
• Dental Invoices
• Specialist Consultation Bills
• Emergency Room Bills
• Outpatient Procedure Bills
• Medical Equipment Rental Invoices