Fisiosport Medical Billing System

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FISIOSPORT MEDICAL BILLING

Select an action below or from the sidebar to manage patients, create invoices, and view reports.

NEW INVOICE

Crear facturas médicas, ingresar códigos CPT, diagnósticos e imprimir PDFs.

PATIENTS

Gestionar registros demográficos de pacientes, historial clínico y fotos.

APPOINTMENTS

Organizar y programar citas, filtrar estados y enlazar notas clínicas.

REPORTS

Ver tendencias de facturación, desglose de proveedores y exportaciones CSV.

WORKING ON

Gestión de tareas y asignaciones para colaboradores del equipo.

Facturación

FISIOSPORT OHL.SRL.

Phone: 1+ 8097391602 Cel: 1+ 8098919227

Email: fisiosportdr@outlook.com

RNC: 132928741

Physical Address: Calle el Morro #44, Puerto Plata, 57000, Dominican Republic

Mailing Address: PO Box 592531 Orlando Florida, 32859 USA

Primary Insurance: VA Foreign Medical Program.

PATIENT INFORMATION

Full Name:

Date of Birth:

SSN:

Policy Number:

Gender:

INVOICE INFORMATION

Invoice Number:

Service Date:

Visit Reason:

ICD-10-CM:

Attending Provider:

#	Code	Service Description	Units	Minutes	Unit Price	Fee
1						0.00

TOTAL: $0.00

Add New Patient

📷

Upload Photo
(2x2 inches)

Veteran First Name:

MI:

Veteran Last Name:

Social Security Number:

VA Claim File Number:

Date of Birth (MM/DD/YYYY):

Gender:

Policy Number:

Telephone Number:

Email Address:

📍 Physical Address (Residence):

📍 Mailing Address:

♡ Condiciones Médicas / Notas Adicionales:

FMP Master Documents (Signed Templates)

Registration Master PDF

No file uploaded

Claim Master PDF

No file uploaded

Disability Breakdown

No file uploaded

🔍

Name	DOB	SSN	Actions

Patient Details

Electronic Health Record (EHR) Overview

👤

PATIENT PROFILE

👤 Personal Identification

Full Name

Date of Birth

SSN

Gender

Contact Details

Email Address

Phone Number

Residential Address

⚠️ Medical Warnings / Conditions

📄 Master Forms Upload signed PDF forms

Registration Form No PDF uploaded

Claim Form No PDF uploaded

♿ Disability Breakdown Letter No file uploaded

Search Patient or Invoice # 🔍

Month:

or Day:

Service Type

Status

Invoice #	Date	Patient	Service	Amount	Status	Actions

Dashboard

Start Date:

End Date:

Filter by Patient:

Total Billed

$0.00

0 invoices

Paid

$0.00

0 invoices

In Transit

$0.00

0 invoices

Denied

$0.00

0 invoices

Revenue Trend (Last 30 Days of Selection)

Revenue by Provider

Service Breakdown

CPT Code	Description	Invoices	Units	Total Revenue

Date	Invoice #	Patient	Service Summary	Amount

Daily Progress Note

FISIOSPORT OHL.SRL.

Phone: 1+ 8097391602 Cel: 1+ 8098919227

Email: fisiosportdr@outlook.com

RNC: 132928741

Physical Address: Calle el Morro #44, Puerto Plata, 57000, Dominican Republic

Mailing Address: PO Box 592531 Orlando Florida, 32859 USA

Patient:

DOB:

Gender:

SSN:

Visit Date:

Reason For Visit:

Attending Provider:

Referring Provider:

ICD-10-CM:

Notes:

Signature Image:

🔒 Provider Signature Area

Month:

or Day:

Visit Date	Patient	Service	Note	Created	Actions

CPT & Services Management

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Code	Description	Price	Actions

Appointment

🔍

Month:

or Day:

Date	Time	Patient	Service	Status	Actions

FISIOSPORT