Template Merge Fields
| Template Field Name | Description |
| ADDRESS_LINE_1 | |
| ADDRESS_LINE_2 | |
| ADDRESS_LINE_3 | |
| ADDRESS_LINE_4 | |
| ADDRESS_LINE_5 | |
| ADDRESS_LINE_6 | |
| BAL_STARTING | |
| BAL_ENDING | |
| ITEM_BALANCE | |
| ITEM_COMMENT | |
| ITEM_CREDIT | |
| ITEM_DATE | |
| ITEM_DEBIT | |
| ITEM_IN_CREDIT | |
| ITEM_REF | |
| PATIENT_FIRST_NAME | |
| PATIENT_INITIAL | |
| PATIENT_LAST_NAME | |
| PATIENT_TITLE | |
| PATIENT_ADDRESSED_AS | |
| PATIENT_SALUTATION | |
| PATIENT_KA | Known As |
| CHARGE_CODE | |
| CHARGE_QTY | |
| CHARGE_FEE | |
| CHARGE_STOTAL | |
| TODAYS_DATE | |
| PAYEE_FIRST_NAME | |
| PAYEE_INITIAL | |
| PAYEE_LAST_NAME | |
| PAYEE_TITLE | |
| PAYEE_KA | Known As |