Title: Competency Assessment: (CU4 M1) Patient Statement
Course: SkillsCom CRS 110 14.0 > Section: Credit Unit 4 Module 1

1. Design and build a billing template in MS Excel or Google Sheets that incorporates the “minimum 10” of statement design.
2. Use that template to create a statement for a family member or a friend.
3. Input data into your form to show itemized charges, adjustments, primary and secondary insurance payments, and a clear patient balance.
4. Submit your finished template for grading.