To Submit a No-Charge Referral in InputHealth is easy!

  • Go to wherever you prefer to do Insured Billing> Select NEW PAYMENT> FEE ITEM

  • Add the 3333 to Fee Item

  • Add the ICD-9 that is applicable for the referral

  • Go to: SHOW ADVANCE FIELDS> REFERRING PROVIDER

  • Make sure to select the drop beside the referring provider to "TO"

  • In the magnifying glass pull the referring provider (DO NOT TYPE IN THE TEXT FIELD)

  • SAVE


If you always want SHOW ADVANCE FIELDS to be open on the bill, read this help article:

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