Superbill or charge sheets

Superbill or charge sheet contains the service details, physician details etc.,

It contains

*Facility Name (Location Name)
*Facility Address (Location Address)
*Facility Phone number (Location phone number)
*DOS (Date of Service)
*Attending physician Name
*Referring physician Name
*CPT (Current procedural Terminology)
*Dx (Diagnosis)
*Patient Copay details
*Mode of payment