Forms
Please feel free to use the forms, and links to forms, which are provided here for your convenience. If you would like to see something added, please drop us an email with your suggestion.
Please note that we do have additional day sheet options (including obstetrics, anesthesia, and rural ER/specialist on-call billing) that are not included here that have been customized. We are also happy to design new versions for existing clients. Please contact us directly to discuss this.
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Valley Vista Billing Forms:
These forms are updated periodically so check with us to be sure you have the latest version(s). These will help ensure that claims can be entered faster, reduce refusals, and help reduce adjudication time.
Custom Day Sheet (with label space)
Custom OB Sheet for multiple patients
Tracking sheet for On Call or GP
Surgical and Surgical Assist Template
Other Forms:
Application For An Additional Payee Number