Template Merge Fields
| Template Field Name | Description |
| TODAYS_DATE | |
| PATIENT_TITLE | |
| PATIENT_INITIAL | |
| PATIENT_FIRST_NAME | |
| PATIENT_LAST_NAME | |
| PATIENT_ADDRESSED_AS | |
| PATIENT_SALUTATION | |
| PATIENT_KA | Known As |
| PAY_MADEBY_INITIAL | |
| PAY_MADEBY_TITLE | |
| PAY_MADEBY_FIRSTNAME | |
| PAY_MADEBY_LASTNAME | |
| PAY_MADEBY_KA | Known As |
| PAY_AMOUNT | |
| PAY_DATE | |
| PAY_NARRATIVE | |
| PAY_NUMBER | |
| ADDRESS_LINE_1 | |
| ADDRESS_LINE_2 | |
| ADDRESS_LINE_3 | |
| ADDRESS_LINE_4 | |
| ADDRESS_LINE_5 | |
| ADDRESS_LINE_6 |