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Available on

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Inpatient Superbill Version 2 Mobile App

Use the Inpatient Superbill Version 2 mobile app for fast completion of medical superbills right from your smartphone, tablet or PC. Fast track your medical record keeping where you need it most: patient hospitals, emergency departments and other fast-paced, long-term care or large health care facilities.

Inpatient care is completely covered in this superbill form with documentation for: initial consults, ER visits, initial hospital care, subsequent care, skilled nursing units, observation care, patient care and critical care. Track a patient's account for medical billers, healthcare claim processing, insurance companies and code assignment anywhere you go.

GoCanvas allows you to schedule when you want submissions emailed to you. Save your inpatient superbills to your records with PDF files or save to the GoCanvas Cloud.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Inpatient Superbill Version 2 Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    PROVIDER NUMBER:

  • Ico textbox

    FEDERAL ID NUMBER:

  • Ico textbox

    Referring Physician:

  • Ico textbox

    MR #

  • Ico textbox

    NAME

  • Ico textbox

    MD

  • Ico textbox

    ID#

  • Ico textbox

    Location:

  • Ico textbox

    VISIT TYPE

  • Ico textbox

    CPT CODE

  • Ico date

    DATE

  • Ico textbox

    ICD-9 CODE

  • Ico dropdown

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  • Ico dropdown

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  • Ico dropdown

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  • Ico dropdown

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  • Ico dropdown

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  • Ico dropdown

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  • Ico dropdown

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  • Ico dropdown

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  • Ico dropdown

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  • Ico dropdown

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  • ...and More!

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