Patient Station Aetna EPIC RCO DOB Check- in Lab Access BCBS HAR SELF- PAY Religion COB Address Discharge Pre- Admit Payer Registration Customer Service ESTIMATE PCP Pending Doctor Advanced Directive Authorization and Service Term Deposit HIPPA Referral Room Admit TPL Effective Date Medicare Hospital WQ'S Encounter CPT Deductible Appointment Desk Co- Insurance Co- Insuranc Allowed Amount Age Active Patient Commercial ROI Demographics D Medicaid PPO Authorization ICN Ineligible Thank you PFFS Ethnicity Consent Coverage Check- out Co- Pay Subscriber Subscriber Guarantor Email Living Will Clinic Cigna Nurse VA Tricare Payment Patient Station Aetna EPIC RCO DOB Check- in Lab Access BCBS HAR SELF- PAY Religion COB Address Discharge Pre- Admit Payer Registration Customer Service ESTIMATE PCP Pending Doctor Advanced Directive Authorization and Service Term Deposit HIPPA Referral Room Admit TPL Effective Date Medicare Hospital WQ'S Encounter CPT Deductible Appointment Desk Co- Insurance Co- Insuranc Allowed Amount Age Active Patient Commercial ROI Demographics D Medicaid PPO Authorization ICN Ineligible Thank you PFFS Ethnicity Consent Coverage Check- out Co- Pay Subscriber Subscriber Guarantor Email Living Will Clinic Cigna Nurse VA Tricare Payment
(Print)
Patient Station
Aetna
EPIC
RCO
DOB
Check-in
Lab
Access
BCBS
HAR
SELF-PAY
Religion
COB
Address
Discharge
Pre-Admit
Payer
Registration
Customer Service
ESTIMATE
PCP
Pending
Doctor
Advanced Directive
Authorization and Service Term
Deposit
HIPPA
Referral
Room
Admit
TPL
Effective Date
Medicare
Hospital
WQ'S
Encounter
CPT
Deductible
Appointment Desk
Co-Insuranc
Allowed Amount
Age
Active
Patient
Commercial
ROI
D
Medicaid
PPO
Authorization
ICN
Ineligible
Thank you
PFFS
Ethnicity
Consent
Coverage
Check-out
Co-Pay
Subscriber
Guarantor
Email
Living Will
Clinic
Cigna
Nurse
VA
Tricare
Payment
