PERMISSIONS REQUIRED: You must have Billing Permissions.
An Invoice must be created in order for a Client to pay for their Appointment or for you to bill to Insurance. Creating an Invoice is how you bill for an Appointment.
To correctly bill in the system, ensure you are creating Invoices for EACH Appointment. You can create Invoices from 3 places in the system - the Agenda, the Client Ledger, and through Batch Invoicing. It is recommended that invoices are created from the Agenda using Add Invoice to ensure the invoice is connected to the appointment.
After an Invoice is created you can Accept Invoice Payments & Co-Payments.
Jump to Section:
AMA CPT Licenses
Practice management and EHR organizations are now legally required to collect annual licensing fees for Current Procedural Terminology (CPT) codes on behalf of the American Medical Association (AMA). To comply with this requirement, staff members that need to be added as a Rendering Provider on invoices in the system will need to have a paid CPT license for the current year. Each staff member’s CPT License lasts for one year and will automatically renew each January 1 if the staff member is active and has not had their CPT Code Access turned off in staff details.
See Assign AMA CPT License to Staff and Add & Edit a Staff Member for more information.
For more information on the AMA CPT code licensing fees, visit www.ama-assn.org/practice-management/cpt/ama-cpt-licensing-overview.
From the Agenda
This is the recommended workflow as creating from the Agenda attaches the Invoice automatically to the correct Appointment.
- Click Schedule and go to the Agenda.
- Click Add Invoice button for appropriate Appointment on the Agenda.
- The Invoice is automatically created and pulls in the Date of Service and all Service Types from the Appointment. No further action is needed.

From a Client's Ledger
- Locate Client and open Client Profile.
- Click Ledger from side navigation.
- Click New Invoice button.

NOTE: You can add & update client billing notes from the Ledger page.

- Select Filter Range, Recent 30 Days, All Past, or All. Any Appointment that falls within set filter range will display.
IMPORTANT: If you do not see your Date of Service, adjust your filters FIRST. Do not click "Add an Invoice Item" until you are sure that the Date of Service truly does not exist.
- Click the X to remove any Dates of Service you don't want to include in this Invoice.
- Click Save to save and return to the ledger or the Save drop-down.

Batch Invoicing
- Click Billing tab in primary navigation bar.
- Click Batch Invoicing and click Create New Invoices.
- Set desired Date Range. All Dates of Service that haven't been billed in your set date range will display.
- Click Search button.

- Select or deselect Clients you wish to create Invoices for.
- Click the green Create Selected Invoices button.

- Click Yes I'm sure to confirm you want to create Invoices.

Related Articles: