OV

This is the cost of an office visit.

SP OV

This is the cost to the patient if the patient has an office visit with a specialist.

Deductible

The is the patient's total deductible for this policy.

Deductible Remaining

This is the remaining amount before the patient reached his/her deductible.

Comment

In this box, office staff can enter a comment regarding the patient's insurance.

Insurance Cards

This section lets the office staff know if the patient has a copy of the insurance card for this policy on file.