What is a Valid Receipt?


Bad Receipt

The IRS says a valid receipt must be produced by your provider and include five specific details about the service you received.

  1. Provider Name
  2. Date of Service
  3. Patient Name
  4. Service Description
  5. Service Charge
 		 

Bad
Receipt


1. Provider Name:
Ed's Pharmacy
2. Date of Service:
9-15-07
3. Patient Name:
Jane Doe
4. Service Description:
Missing
5. Service Charge:
$15.82


Good Receipt		  

Good
Receipt


1. Provider Name:
Ed's Pharmacy
2. Date of Service:
9-15-07
3. Patient Name:
Jane Doe
4. Service Description:
Loratadine
5. Service Charge:
$15.82

Bad Receipt		  

Bad
Receipt


1. Provider Name:
Sample Dentistry
2. Date of Service:
Missing
3. Patient Name:
Missing
4. Service Description:
Missing
5. Service Charge:
$168.00

Good Receipt		  

Good
Receipt


1. Provider Name:
Sample Dentistry
2. Date of Service:
9-15-07
3. Patient Name:
John Doe
4. Service Description:
Extraction
5. Service Charge:
$168.00

For a PDF file of this information that you can print and distribute, please click here.