PTComp EMR

New Workman's Comp Case

Patient Name

Claim Number

Employer

Injury Date

Injury Description

Add Progress Note

Add Authorization

Auth Number

Approved Visits

Status

Expiry Date

Provider

Diagnosis (ICD)

Service Type

Requested By

Notes

Add Billing Entry

Service Date

CPT Code

Modifier

Place of Service

Units

Rate (cents)

Payer

Diagnosis Codes (ICD-10, comma separated for medical claims)

Rendering NPI

Rendering Provider

Billing NPI / Tax ID

Billing Provider / Group

Paid (cents)

Adjustment (cents)

Description / Line Note

Bump visit count on case

Attachments for Case

Upload Encrypted File (PDF, image, etc.)

Existing Attachments

PT

Workman's Comp Physical Therapy

Bulk Export

Select cases and sections. Generates professional PDFs (with tables) and/or billing CSV.

CASES

INCLUDE IN PDF

Notes Authorizations Billing

ELECTRONIC SIGNATURE (embedded in PDFs)

Draw with mouse or finger. Signature will appear at bottom of exported PDFs.

Include PTComp logo in letterhead (real image)

File Decryption Passphrase

This passphrase is used client-side only to protect the encryption keys for attachments. It is never sent to the server. Set the same passphrase on this device to decrypt files you (or your team) uploaded.

Note: For this demo the passphrase is kept in memory + localStorage. Clear it when done.