1. Insurance Claims Information: Additional details required for insurance processing, used when the patient has insurance coverage

2. Third-Party Billing: Information for cases where a third party is responsible for payment

3. Discount Application: Details of any applied discounts or special pricing arrangements

4. Pre-Authorization Details: Include when services required pre-approval from insurance

5. Package Treatment Details: For cases where services are part of a medical package

6. Multiple Visit Summary: For treatments requiring multiple visits or sessions

1. Schedule A: Detailed Service Breakdown: Detailed breakdown of medical services with specific codes, durations, and individual costs

2. Schedule B: Medicine and Supplies: Itemized list of medications and medical supplies used during treatment

3. Schedule C: Laboratory Tests: Detailed breakdown of laboratory tests and results if applicable

4. Appendix 1: Insurance Coverage Details: Breakdown of insurance coverage, copayments, and deductibles

5. Appendix 2: Supporting Medical Documentation: References to relevant medical reports or documentation supporting the charges