Template Merge Fields
| Template Field Name | Description |
| DATE | |
| ITEM_PATIENT_NAME | |
| ITEM_INVOICE_NUMBER | |
| ITEM_INVOICE_TOTAL | |
| ITEM_PAYRCT_NUMBER | |
| ITEM_PAYRCT_TOTAL | |
| ITEM_PAYRCT_TYPE | |
| ITEM_CREDITNOTE_NUMBER | |
| ITEM_CREDITNOTE_AMOUNT | |
| ITEM_REFUND_NUMBER | |
| ITEM_REFUND_AGAINST | |
| ITEM_REFUND_AMOUNT | |
| ITEM_SCHEDULED_TOTAL | |
| INVOICE_TOTAL | |
| RECEIPT_TOTAL | |
| PAYMENT_TOTAL | |
| CREDITNOTE_TOTAL | |
| SCHEDULED_TOTAL | |
| REFUND_TOTAL | |
| CHARGE_STOTAL | |
| CHARGE_PROVIDER | |
| CHARGE_CODE |