Date: Select the Date of Payment by the drop-down calendar
Payment Method: Select Cash, Check or Credit Card by tapping in one of the three
Payment Type: Select Patient Responsibility, Copay or Insurance by tapping in one of the three
Credit Card:
Select American Express, Discover, Master Card, Visa or Oher by tapping in one of the five buttons. Then type in the Credit Card Number, Credit Card Code and the Name of the Card Holder
Check: Fill in the Check Number, Check Amount and Routing Number
Close & Save: Saves information and returns the user to the Bill & Payment history screen
Cancel: Returns the user to the Bill & Payment History screen without saving information
Delete: Deletes a payment record from the Bill & Paymentts history screen
Amount: Carge amount for the Session
