Get Invoice Number: A Number That Identifies This Statement

Filling out your invoice online can streamline your payment process and ensure accuracy. This guide will provide you with step-by-step instructions on how to properly fill out the Invoice Number: A number that identifies this statement form, making the process easier for you.

Follow the steps to accurately complete your invoice online.

1. Click ‘Get Form’ button to access the invoice form. This will open the document in your online editor for further filling.
2. Locate the Invoice Number field. Here, enter the unique number that identifies this particular invoice statement. This number helps in tracking payments.
3. Fill in the Account Number, which is a unique identifier for your account. Ensure this number is correct to avoid payment issues.
4. Check the Due Date. If you are on a Payment Plan, the agreed-upon date will be displayed here. If not, it should read ‘Upon Receipt’.
5. Enter the Amount Due, which reflects your total account balance owed at this time.
6. Input the Balance Forward, showing any unpaid balances from previous statements.
7. Input Payments Since Last Statement to reflect any payments made after your last invoice.
8. Detail any New Charges that have not appeared on previous statements.
9. The Amount Paid field will be blank unless you are mailing a payment; fill this amount only if applicable.
10. Complete the Account Name by entering your name as it appears on your account.
11. Include the Statement Date, indicating when the statement was printed and mailed.
12. Enter the Due Date for when your payment should be received.
13. Fill in the Date indicating when the service was provided.
14. In the Service Description, include the name of the person who received the service, service location, and any new charges.
15. Detail the Charges for the service provided.
16. If applicable, include Insurance Payments/Adjustments for the services.
17. Enter any Patient Payments/Adjustments made by you.
18. Calculate and provide the Patient Balance, reflecting the total amount owed after adjustments.
19. Review any Messages for essential information regarding your account.
20. Finally, confirm the Amount Due, ensuring it accurately reflects your total balance or monthly Payment Plan amount.
21. Once all fields are completed, save your changes. You may then choose to download, print, or share the completed form as needed.

Complete your documents online now to ensure timely payments and avoid inconveniences.