The only required field to be completed within this section is the Diagnosis field. All other fields can be left as default unless specifically required:
- Double Insurance
- specify whether a patient is covered by more than one PMI
- Package Deal
- Yes / No
- Signature
- Select appropriate option
- Diagnosis
- select relevant Diagnosis from the list setup on your chamber
- Third Party
- Is a 3rd party involved such as a medico-legal company?
- Details
- Additional details is Third Party is declared