Medical Receipt Generator

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

Create Your Medical Receipt
Medical Receipt receipt example showing medical format with itemized list, totals, and payment details
Custom Logo
Edit Items
Business Info
Dynamic Barcode
Custom Styling
PNG / PDF / JPG

Zero to Medical Receipt in 60 Seconds

Create professional medical receipts with powerful features — no technical know-how required

Drag & Drop Builder

Arrange procedure codes, copays, insurance details, and patient info like real medical billing statements.

Real-time Preview

Watch your medical receipt update as you add services, costs, and insurance adjustments.

Multiple Export Formats

Download as PDF for insurance claims, PNG for quick records, or JPEG for patient files.

Custom Styling

Include clinic name, patient details, procedure codes, and format it professionally.

Barcode & QR Support

Add patient ID barcodes or QR codes linking to patient portals and appointment systems.

Paper Styles

Choose white paper for professional medical documents or thermal for checkout receipts.

How to Generate Your Medical Receipt

Three simple steps to generate professional receipts

Step 1:

Choose your template

Step 2:

Customize your receipt

Step 3:

Download and use

What You Can Do

Create receipts for any purpose

HSA/FSA Reimbursement

Submit medical receipts for health savings or flexible spending account claims

Medical Tax Deductions

Document healthcare expenses for IRS Schedule A itemized deductions

Insurance Claims

File or appeal insurance claims with documented proof of services and payment

Employee Health Benefits

Process medical expenses through employer-sponsored health programs

Patient Records

Maintain organized healthcare expense records for personal financial tracking

Legal Documentation

Document medical expenses for personal injury or workers compensation claims

Frequently Asked Questions

Common questions about creating medical receipts

What is included on a medical receipt?

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.

Can I use medical receipts for HSA/FSA reimbursement?

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.

How do I add insurance information?

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.

What is a medical receipt?

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.

Why do you need a medical receipt?

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.

What are the key fields on a medical receipt?

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

Tips for creating your medical receipt

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

Is MakeMyReceipt free to use?

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.

What file formats can I export?

You can export your receipts as PNG (high-quality images), PDF (print-ready documents), or JPEG (compressed images for smaller file sizes).