{% extends 'base.html' %} {% load static %} {% block title %}Payments - Billing{% endblock %} {% block content %}
| Payment Number | Bill Number | Patient | Payment Date | Amount | Method | Source | Status | Received By | Details |
|---|---|---|---|---|---|---|---|---|---|
|
{{ payment.payment_number }}
{% if payment.check_number %}
Check: {{ payment.check_number }} {% endif %} {% if payment.authorization_code %} Auth: {{ payment.authorization_code }} {% endif %} |
{{ payment.medical_bill.bill_number }} |
{{ payment.medical_bill.patient.get_full_name }}
MRN: {{ payment.medical_bill.patient.mrn }} |
{{ payment.payment_date|date:"M d, Y" }} |
${{ payment.payment_amount|floatformat:2 }}
{% if payment.refund_amount > 0 %}
Refund: ${{ payment.refund_amount|floatformat:2 }} {% endif %} |
{{ payment.get_payment_method_display }}
{% if payment.card_type and payment.card_last_four %}
{{ payment.card_type }} ****{{ payment.card_last_four }} {% endif %} |
{{ payment.get_payment_source_display }}
{% if payment.insurance_claim %}
Claim: {{ payment.insurance_claim.claim_number }} {% endif %} |
{% if payment.status == 'PENDING' %}
Pending
{% elif payment.status == 'PROCESSED' %}
Processed
{% elif payment.status == 'CLEARED' %}
Cleared
{% elif payment.status == 'BOUNCED' %}
Bounced
{% elif payment.status == 'REVERSED' %}
Reversed
{% elif payment.status == 'REFUNDED' %}
Refunded
{% endif %}
{% if payment.deposit_date %}
Deposited: {{ payment.deposit_date|date:"M d" }} {% endif %} |
{{ payment.received_by.get_full_name|default:"System" }}
{% if payment.processed_by and payment.processed_by != payment.received_by %}
Processed by: {{ payment.processed_by.get_full_name }} {% endif %} |
{% if payment.bank_name %}
Bank: {{ payment.bank_name }} {% endif %} {% if payment.transaction_id %} TXN: {{ payment.transaction_id|truncatechars:15 }} {% endif %} {% if payment.eob_number %} EOB: {{ payment.eob_number }} {% endif %} {% if payment.notes %} {{ payment.notes|truncatechars:30 }} {% endif %} |
|
No payments found. |
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