
Ng the date of care.) 3. Print the employee s first and last name and their reservation or Case ID #. 4. List each day of care separately, indicating the number of children served, and total hours of care provided. 5. Please use the full hourly or daily drop-in rate that is indicated on your contract for drop-in care. 6. Calculate the amount due per employee for each day (Hours of Care Used X Full Hourly/Daily Rate X Number of Children). Record cost under Amount Due. 7. Sum the total amo.
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How to fill out The Back-Up Care Advantage Program Billing Invoice online
This guide provides clear and detailed instructions for users on how to effectively complete The Back-Up Care Advantage Program Billing Invoice online. By following these steps, you can ensure that your billing is submitted correctly and on time.
Follow the steps to successfully complete the billing invoice
- Click ‘Get Form’ button to access the form and open it in the editing tool.
- Begin by entering the center name and street address in the designated fields clearly. This information is essential for processing your invoice.
- Provide the date that you are submitting the invoice. It is important to submit your invoices within 30 to 45 days of service to avoid potential payment declines.
- Fill in the director’s name, ensuring it is printed legibly in the correct field.
- Enter the phone number with the area code for the center, and include an invoice/reference number for your records.
- Identify the employee’s name and include their reservation or case ID number in the respective areas.
- List each date of care provided separately, including the number of children and total hours of care for each day.
- Utilize the hourly or daily rate specified in your contract for all provided care, and document this in the appropriate section.
- Calculate the total amount due for each service day using the formula: Hours of Care Used X Full Hourly/Daily Rate X Number of Children, and record it in the 'Amount Due' field.
- Sum all daily amounts to get the total amount due and record this under 'TOTAL AMOUNT DUE.'
- Review your entries for accuracy and ensure all information is complete before finalizing the form.
- Submit the completed invoice via email to PROVIDERBILLING@BRIGHTHORIZONS.COM or by fax to 303.468.1726.
Complete your invoice online to ensure timely processing and payment.
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