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Eastern Medicine Superbill Mobile App

The Eastern Medicine Superbill mobile app allows hospitals, physicians, and nurses to complete a Medical Superbill using an iPhone, iPad, or Android device.

This app is specific for Eastern Medical care and covers Office Visit, Consultation, Acupuncture Treatments, Therapeutic Procedures, Physical Modalities, Supplies, Durable Medical Equipment, and Orthotic Supplies.

The GoCanvas Cloud is used by numerous health care workers in a highly secure fashion including hospitals, medical doctors, nurses, and home health care providers. All medical services can easily be printed or emailed as a PDF if they need to be sent to health insurance companies, billing services, or to the patient as part of an overall health plan.

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Take a peek inside the Eastern Medicine Superbill Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

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

  • Ico date

    Date of service

  • Ico textbox

    Name:

  • Ico multiline

    Address:

  • Ico textbox

    Phone:

  • Ico date

    DOB:

  • Ico integer

    Age:

  • Ico dropdown

    Sex:

  • Ico date

    Date of Injury:

  • Ico date

    Date First Consulted:

  • Ico statictext

    Condition Caused by:

  • Ico checkbox

    Injury

  • Ico checkbox

    Illness

  • Ico checkbox

    MVA

  • Ico checkbox

    Work

  • Ico checkbox

    Other

  • Ico textbox

    Subscriber name:

  • Ico textbox

    Insurance company (primary):

  • Ico textbox

    Subscriber ID:

  • Ico textbox

    Group #:

  • Ico textbox

    Copay:

  • Ico statictext

    This form has been prepared to assist you in the completion of your insurance claim form and cont...

  • Ico statictext

    I certify that I have personally rendered the services indicated below and that the undiscounted ...

  • Ico dropdown

    List Item

  • Ico checkbox

    Work

  • Ico dropdown

    List Item

  • Ico dropdown

    List Item

  • Ico dropdown

    List Item

  • Ico dropdown

    List Item

  • ...and More!

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