|
|
{!! $company->company_address !!} |
{{-- QB Invoice Doc number--}}
{{--
INVOICE:
#{{$invoice->qb_doc_number??' - '}}
{{-- PL --}}INVOICE:
#{{$invoice->id}}
#{{$invoice->id}}
--}}
{{-- --}}
QB INVOICE: --}}
{{-- #{{$invoice->qb_id}} --}}
{{-- --}}
{{-- INVOICE DATE:
{{date_format(date_create($invoice->bill_date), 'M d, Y')}}
DUE DATE:
{{date_format(date_create($invoice->due_date), 'M d, Y')}}
STATUS:
{{INVOICE_PAID_STATUS[$invoice->paid_status]['label']}}
|
|
{{$invoice->patient['first_name']}} {{$invoice->patient['last_name']}}
@if(isset($invoice) && isset($invoice->patient) && isset($invoice->patient['cc']) && isset($invoice->patient['cc']['id']))
{{$invoice->patient['cc']['street_address']}}@if(isset($invoice->patient['cc']['address_line_2'])), {{$invoice->patient['cc']['address_line_2']}}@endif {{$invoice->patient['cc']['city']}}, {{$invoice->patient['cc']['state']}} {{zipFormat($invoice->patient['cc']['zip_code'])}} @else{{$invoice->patient['address']}}@if(isset($invoice->patient['address_line_2'])), {{$invoice->patient['address_line_2']}}@endif {{$invoice->patient['city']}}, {{$invoice->patient['state']}} {{zipFormat($invoice->patient['zip_code'])}} @endif {{$invoice->patient['email']}}{{phoneFormat($invoice->patient['phone'])}} |
POS:
{{$counselorSession->category->pos}}
Service Date:
@if(isset($invoice->service_date) && !empty($invoice->service_date))
{{date_format(date_create($invoice->service_date), 'M d, Y')}}
@else
{{date_format(date_create($invoice->bill_date), 'M d, Y')}}
@endif
ICD Code#:
{{$invoice->icd_code}}
Terms:
{{$invoice->qbTerm['name'] ?? '-'}}
|
|
| Session | Session Detail | Class | Qty | Rate | Total |
|---|---|---|---|---|---|
| @if(isset($counselorSession) && !empty($counselorSession->qb_name)) {{$counselorSession->qb_name}} @elseif(isset($counselorSession) && isset($counselorSession->category)) {{$counselorSession->category['name']}} @endif | @if(isset($counselorSession) && !empty($counselorSession->description)) {{$counselorSession->description}} @elseif(isset($counselorSession) && isset($counselorSession->category)) {{$counselorSession->category['description']}} @endif | @if(isset($invoice->event) && isset($invoice->event->location) && isset($invoice->event->location->name)) {{$invoice->event->location->name}} @endif | {{number_format($invoice->qty,2)}} | ${{number_format($invoice->rate,2)}} | ${{number_format($invoice->sub_total,2)}} |
|
@if(isset($counselorSession) && isset($counselorSession->notes) && !empty($counselorSession->notes))
{!! $counselorSession->notes !!}
NPI# 1639513294
@endif
@if (isset($invoice->event->telemedicine_exist) && $invoice->event->telemedicine_exist == true)
Tax ID# 83-4005494 Please make checks out to "PulseLogs" and send them to 1624 Enderly Place, Fort Worth TX 76104 Phone: (817) 301-9700 Fax: (817) 207-4181) This visit was conducted via secure HIPAA-compliant telemedicine platform.
|
Sub Total | {{number_format($invoice->sub_total,2)}} | |||
| Discount($) | - ${{number_format($invoice->discount_amount,2)}} | ||||
| Grand Total | ${{number_format($invoice->total_amount,2)}} | ||||
| Paid Amount | - ${{number_format($invoice->paid_amount,2)}} | ||||
| Due Amount | ${{$invoice->due_amount,2}} | ||||
Transactions
| # | Payment Method | Paid Date | {{--QB Payment Id | --}} {{--QB Capture Id | --}}Receipt Generated | Status | Paid Amount |
|---|---|---|---|---|---|---|---|
| {{intval($key)+1}} | {{isset($tran['qb_payment_method']) && isset($tran['qb_payment_method']['name'])?$tran['qb_payment_method']['name']:'-'}} | {{date_format(date_create($tran['paid_date']), 'M d, Y')}} | {{--{{!empty($tran['payment_id'])?$tran['payment_id']:'-'}} | --}} {{--{{!empty($tran['qb_capture_id'])?$tran['qb_capture_id']:'-'}} | --}}{{$tran['receipt_generate']==1?'Yes':'No'}} | {{PAYMENT_STATUS_OBJ[$tran['status']]['label']}} | ${{number_format($tran['paid_amount'],2)}} |
| Transaction has not been processed yet! | |||||||