\r\n Provider\r\n | \r\nName | \r\n|
---|---|---|
\r\n \r\n | \r\n\r\n {{ user.name }}\r\n | \r\n\r\n {{ user.email }}\r\n | \r\n
\r\n Where would you like your transaction receipts sent from?\r\n
\r\n\r\n\r\n Selecting {{ name }} will bypass the receipt screen on the Poynt\r\n terminal and send a receipt to the patient's email on file.\r\n
\r\n\r\n These sample templates are not legal advice and by using them you agree to\r\n this disclaimer. The materials below are for informational purposes only\r\n and do not constitute advertising, a solicitation or legal advice. You\r\n should consult independent legal advice before publishing these\r\n agreements. You should read the generated information with care and\r\n modify, delete or add all and any areas as necessary. Use of, access to or\r\n transmission of such materials and information or any of the links\r\n contained herein is not intended to create, and receipt thereof does not\r\n constitute formation of, an attorney-client relationship between Moolah\r\n and the user or browser. You should not rely upon this information for any\r\n purpose without seeking legal advice from a licensed attorney in your\r\n state or province. The information contained is provided only as general\r\n information and may or may not reflect the most current legal\r\n developments; accordingly, information is not promised or guaranteed to be\r\n correct or complete. Moolah expressly disclaims all liability in respect\r\n to any actions taken or not taken based on any or all of the contents of\r\n the provided template.
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\r\n {{ desc }}\r\n key fields.\r\n
\r\n\r\n Send upcoming membership renewal reminders to the patient.\r\n
\r\n\r\n Include past-due amounts when processing upcoming renewals.\r\n
\r\n\r\n Set terms and conditions for membership authorizations and\r\n approvals.\r\n
\r\n\r\n Send payment plan reminders for upcoming payments.\r\n
\r\n\r\n Include past-due amounts when processing upcoming payments.\r\n
\r\n\r\n Set terms and conditions for payment plan authorizations and\r\n approvals.\r\n
\r\n\r\n Set your cancelation policy, and rules.\r\n
\r\n\r\n An online payment form is an excellent way to give your patients the\r\n ability to self-service an outstanding balance. Link to a branded\r\n payment page or embed the payment form directly on your website.\r\n
\r\n\r\n\r\n You can also link the payment page by allowing customers to scan the QR\r\n code provided.\r\n
\r\n\r\n Please enter the name you would like to use for your payment page URL.\r\n
\r\n\r\n\r\n Download and place this QR code on statements, web pages, or any other\r\n source you'd like to link to your branded payment page.\r\n
\r\n\r\n Copy and paste the following code to embed the payment form directly\r\n on your website.
\r\n
\r\n <iframe src="{{\r\n patientPortalUrl + \"/\" + patientHostName + \"/i\"\r\n }}" width="100%" height="1275"\r\n scrolling="no" allowfullscreen frameborder="0"\r\n marginwidth="0"\r\n marginheight="0"></iframe>\r\n
\r\n \r\n Customize the header that is shown at the top of the payment page.\r\n
\r\n\r\n\r\n Customize a field on your payment form that will help collect\r\n specific information to identify better who or what this payment\r\n is for.\r\n
\r\n\r\n\r\n Require that this field cannot be left blank.\r\n
\r\n\r\n Email your payment page details with instructions on how to link or\r\n embed your payment page.\r\n
\r\n\r\n\r\n User will be copied on all notifications and receipts.\r\n
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