Page 489 - eBOOK VERSION 8 BOOK 2 of 2 JUL 2022

STANDARD OPERATING PROCEDURE Research Administration SOP No: F013 SOP Title: Research Billing to UTSW
3.3.1. Populate the study visit details from the EPIC Billing Report such as the Research Study Title, Study Code, Provider Name, Service Date, Revenue Allocation, Procedure Description, Tx Amount, Subsidized Amount (if applicable), Transaction Quantity, Subject ID number, Visit Name, totals for each allocated amount and the grand total at the bottom of the back-up summary template. The study charges may also include (but is not limited to) any Monitor Visits, IRB Close out Fees, Reconsents, and Long-Term Storage fees.
3.3.2. After all the pertinent information has been added to the Excel back-up summary template, save the document in the share drive in the