Generate professional medical receipts with procedure codes, copays, and insurance info. Perfect for clinics, hospitals, and healthcare providers.
Create Your Medical Receipt

Create professional medical receipts with powerful features — no technical know-how required
Arrange procedure codes, copays, insurance details, and patient info like real medical billing statements.
Watch your medical receipt update as you add services, costs, and insurance adjustments.
Download as PDF for insurance claims, PNG for quick records, or JPEG for patient files.
Include clinic name, patient details, procedure codes, and format it professionally.
Add patient ID barcodes or QR codes linking to patient portals and appointment systems.
Choose white paper for professional medical documents or thermal for checkout receipts.
Three simple steps to generate professional receipts
Step 1:
Choose your template
Step 2:
Customize your receipt
Step 3:
Download and use
Create receipts for any purpose
Submit medical receipts for health savings or flexible spending account claims
Document healthcare expenses for IRS Schedule A itemized deductions
File or appeal insurance claims with documented proof of services and payment
Process medical expenses through employer-sponsored health programs
Maintain organized healthcare expense records for personal financial tracking
Document medical expenses for personal injury or workers compensation claims
Common questions about creating medical receipts
Medical receipts typically include the provider name, patient info, date of service, procedure codes and descriptions, charges, insurance adjustments, copay/coinsurance, and total amount paid.
Yes, medical receipts serve as documentation for HSA and FSA reimbursement claims. Include the provider name, service date, description of service, and amount paid for eligible expenses.
Use the custom message section to add insurance provider name, plan number, and adjustment amounts. You can also note the allowed amount vs. billed amount.
A medical receipt is a documented record of healthcare services rendered and payments made at a doctor's office, clinic, hospital, or medical facility. It details the patient name, provider information, services or procedures performed (often with CPT codes), dates of service, insurance adjustments, copay or coinsurance amounts, and the patient's balance or amount paid. Medical receipts serve as both billing statements and proof of payment for healthcare services.
Medical receipts are essential for HSA and FSA reimbursement claims, tax deductions for medical expenses exceeding the IRS threshold, and insurance claim filing. Patients need them to track out-of-pocket healthcare costs, verify that insurance processed claims correctly, and submit for employer health benefit reimbursements. They are also required for medical expense deductions on Schedule A of tax returns.
Healthcare provider name, address, and NPI number • Patient name, date of birth, and account number • Date of service and procedure/CPT codes • Description of services and charges • Insurance adjustments and allowed amounts • Copay, coinsurance, and patient responsibility • Total paid and payment method
Include CPT procedure codes for realistic medical billing documentation • Add insurance provider and plan details in a custom message section • Separate provider charges from insurance adjustments for clarity • Use white paper style for professional medical documentation
Yes! MakeMyReceipt is 100% free to use with no hidden costs. All features, templates, and exports are completely free - no watermarks, no subscriptions, no limits.
You can export your receipts as PNG (high-quality images), PDF (print-ready documents), or JPEG (compressed images for smaller file sizes).
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