Free Healthcare Ledger Template
Healthcare Ledger
Company Name: [YOUR COMPANY NAME]
Address: [YOUR COMPANY ADDRESS]
Email: [YOUR COMPANY EMAIL]
Contact Number: [YOUR COMPANY NUMBER]
Prepared By: [YOUR NAME]
Prepared On: January 15, 2050
Patient Transactions Table
|
Date |
Service Description |
Amount (USD) |
|---|---|---|
|
February 12, 2050 |
Annual Physical Examination |
$150.00 |
|
March 05, 2050 |
Laboratory Tests |
$200.00 |
|
April 20, 2050 |
Follow-Up Consultation |
$100.00 |
Insurance Claims Table
|
Date |
Claim Number |
Status |
|---|---|---|
|
February 15, 2050 |
CLM2050-001 |
Approved |
|
March 10, 2050 |
CLM2050-002 |
Pending |
|
April 25, 2050 |
CLM2050-003 |
Denied |
Compliance Records
|
Date |
Audit Type |
Outcome |
|---|---|---|
|
February 28, 2050 |
HIPAA Compliance Review |
Passed |
|
March 30, 2050 |
Financial Audit |
No Discrepancies |
|
April 30, 2050 |
Patient Data Security Check |
No Issues Found |
For questions, contact us at [YOUR EMAIL].
