Description

This is a visit summary report with each date of service on a separate page. It contains financial information such as copays and balance dues from both patients and insurance, as well as billing information such as procedures, diagnoses, units, and billed amounts. Providers can print the report to review the visit information and to document additional observations of the visit.

Search Filters of B3 Report

Field Description
Schedule Date Provide Schedule date range
Provider To filter the report for a specific provider
All providers To display the result for all providers

Search Screen of B3 Report

Sample B3 Report

Image 2

Select the checkbox for Show amount to print the amount on the PDF.

Possible Outputs of B3 Report

Output Download and View Sample
PDF PDF Icon

Sample PDFs (a) with no amount printed and (b) with amount printed are shown below.