diff --git a/contrib/util/import_mi2xml.php b/contrib/util/import_mi2xml.php
index df75cbf7378..bd96a243350 100644
--- a/contrib/util/import_mi2xml.php
+++ b/contrib/util/import_mi2xml.php
@@ -190,6 +190,7 @@ function create_patient( &$medics, &$errors ) {
       '',                           // genericval1
       '',                           // genericname2
       '',                           // genericval2
+	  '',                           //billing_note
       '',                           // phone_cell
       form2db($medics->hippa_notice), // hipaa_mail
       form2db($medics->hippa_notice), // hipaa_voice
diff --git a/custom/export_xml.php b/custom/export_xml.php
index 472123558a1..77ad599b7d7 100644
--- a/custom/export_xml.php
+++ b/custom/export_xml.php
@@ -206,6 +206,7 @@ function addInsurance($row, $seq) {
  Add("genericval1"         , $row['genericval1']);
  Add("genericname2"        , $row['genericname2']);
  Add("genericval2"         , $row['genericval2']);
+ Add("billing_note"        , $row['billing_note']);
  Add("hipaa_mail"          , $row['hipaa_mail']);
  Add("hipaa_voice"         , $row['hipaa_voice']);
 
diff --git a/custom/import_xml.php b/custom/import_xml.php
index b07e343cbd4..5940bb6b45e 100644
--- a/custom/import_xml.php
+++ b/custom/import_xml.php
@@ -159,6 +159,7 @@ function setInsurance($pid, $ainsurance, $asubscriber, $seq) {
    $apatient['genericval1'],
    $apatient['genericname2'],
    $apatient['genericval2'],
+   $apatient['billing_note'],
    $apatient['phone_cell'],
    $apatient['hipaa_mail'],
    $apatient['hipaa_voice'],
diff --git a/interface/billing/billing_report.php b/interface/billing/billing_report.php
index 6be73daff0f..3b4bfaadb7f 100644
--- a/interface/billing/billing_report.php
+++ b/interface/billing/billing_report.php
@@ -774,7 +774,7 @@ class='link_submit'  ><?php echo '['.xlt('End Of Day Report').']' ?></a>
         }
       }
 
-      $name = getPatientData($iter['enc_pid'], "fname, mname, lname, pubpid, DATE_FORMAT(DOB,'%Y-%m-%d') as DOB_YMD");
+      $name = getPatientData($iter['enc_pid'], "fname, mname, lname, pubpid, billing_note, DATE_FORMAT(DOB,'%Y-%m-%d') as DOB_YMD");
 
       # Check if patient has primary insurance and a subscriber exists for it.
       # If not we will highlight their name in red.
@@ -795,7 +795,7 @@ class='link_submit'  ><?php echo '['.xlt('End Of Day Report').']' ?></a>
 
       $ptname = $name['fname'] . " " . $name['lname'];
       $raw_encounter_date = date("Y-m-d", strtotime($iter['enc_date']));
-            
+      $billing_note = $name['billing_note'];       
             //  Add Encounter Date to display with "To Encounter" button 2/17/09  JCH
       $lhtml .= "&nbsp;<span class=bold><font color='$namecolor'>". text($ptname) .
         "</font></span><span class=small>&nbsp;(" . text($iter['enc_pid']) . "-" .
@@ -847,7 +847,7 @@ class='link_submit'  ><?php echo '['.xlt('End Of Day Report').']' ?></a>
                  "], CalendarCategoryArray[" . $iter['enc_pid'] . "])\">[" . xlt('To Dems') . "]</a>";
         $divnos=$divnos+1;
       $lhtml .= "&nbsp;&nbsp;&nbsp;<a  onclick='divtoggle(\"spanid_$divnos\",\"divid_$divnos\");' class='small' id='aid_$divnos' href=\"JavaScript:void(0);".
-        "\">(<span id=spanid_$divnos class=\"indicator\">" . htmlspecialchars( xl('Expand'), ENT_QUOTES) . "</span>)</a>";
+        "\">(<span id=spanid_$divnos class=\"indicator\">" . htmlspecialchars( xl('Expand'), ENT_QUOTES) . '</span>)</a> <span style="margin-left: 20px; font-weight bold; color: red">'.text($billing_note).'</span>';
 
       if ($iter['id']) {
 
@@ -1065,7 +1065,7 @@ class='link_submit'  ><?php echo '['.xlt('End Of Day Report').']' ?></a>
     if ($iter['id']) $rhtml .= text(oeFormatSDFT(strtotime($iter{"date"})));
     $rhtml .= "</span></td>\n";
     if ($iter['id'] && $iter['authorized'] != 1) {
-      $rhtml .= "<td><span class=alert>".xlt("Note: This code was not entered by an authorized user. Only authorized codes may be uploaded to the Open Medical Billing Network for processing. If you wish to upload these codes, please select an authorized user here.")."</span></td>\n";
+      $rhtml .= "<td><span class=alert>".xlt("Note: This code has not been authorized.")."</span></td>\n";
     }
     else {
       $rhtml .= "<td></td>\n";
@@ -1111,7 +1111,7 @@ class='link_submit'  ><?php echo '['.xlt('End Of Day Report').']' ?></a>
           $rhtml2 .= text(oeFormatSDFT(strtotime($date)));
           $rhtml2 .= "</span></td>\n";
           if ($iter['id'] && $iter['authorized'] != 1) {
-            $rhtml2 .= "<td><span class=alert>".xlt("Note: This code was not entered by an authorized user. Only authorized codes may be uploaded to the Open Medical Billing Network for processing. If you wish to upload these codes, please select an authorized user here.")."</span></td>\n";
+            $rhtml2 .= "<td><span class=alert>".xlt("Note: This copay was entered against billing that has not been authorized. Please review status.")."</span></td>\n";
           }else{
             $rhtml2 .= "<td></td>\n";
           }
diff --git a/interface/billing/sl_eob_invoice.php b/interface/billing/sl_eob_invoice.php
index 81b510e966d..31af8386322 100644
--- a/interface/billing/sl_eob_invoice.php
+++ b/interface/billing/sl_eob_invoice.php
@@ -469,7 +469,7 @@ function updateFields(payField, adjField, balField, coPayField, isFirstProcCode)
     $codes = get_invoice_summary($trans_id, true);
   }
 
-  $pdrow = sqlQuery("select genericname2, genericval2 " .
+  $pdrow = sqlQuery("select billing_note " .
     "from patient_data where pid = '$patient_id' limit 1");
 ?>
 <center>
@@ -685,13 +685,13 @@ function updateFields(payField, adjField, balField, coPayField, isFirstProcCode)
   }
 ?>
  </tr>
-<?php if ($pdrow['genericname2'] == 'Billing') { ?>
+<?php if (!empty($pdrow['billing_note'])) { ?>
  <tr>
   <td>
    <?php xl('Billing Note:','e')?>
   </td>
   <td colspan='3' style='color:red'>
-   <?php echo $pdrow['genericval2'] ?>
+   <?php echo $pdrow['billing_note'] ?>
   </td>
  </tr>
 <?php } ?>
diff --git a/interface/billing/sl_eob_patient_note.php b/interface/billing/sl_eob_patient_note.php
index f19905ccf30..5bc795700ad 100644
--- a/interface/billing/sl_eob_patient_note.php
+++ b/interface/billing/sl_eob_patient_note.php
@@ -40,12 +40,10 @@
 
   if ($_POST['form_save']) {
     $thevalue = trim($_POST['form_note']);
-    $thename = $thevalue ? "Billing" : "";
 
     sqlStatement("UPDATE patient_data SET " .
-      "genericname2 = ?, " .
-      "genericval2 = ? " .
-      "WHERE pid = ? ", array($thename, $thevalue, $patient_id));
+      "billing_note = ? " .
+      "WHERE pid = ? ", array($thevalue, $patient_id));
 
     echo "<script language='JavaScript'>\n";
     if ($info_msg) echo " alert('$info_msg');\n";
@@ -54,7 +52,7 @@
     exit();
   }
 
-  $row = sqlQuery("select fname, lname, genericname2, genericval2 " .
+  $row = sqlQuery("select fname, lname, billing_note " .
     "from patient_data where pid = '$patient_id' limit 1");
 ?>
 <center>
@@ -66,7 +64,7 @@
 
 <p>
 <input type='text' name='form_note' size='60' maxlength='255'
- value='<?php  echo addslashes($row['genericval2']) ?>' />
+ value='<?php  echo addslashes($row['billing_note']) ?>' />
 </p>
 
 <p>&nbsp;</p>
diff --git a/interface/billing/sl_eob_search.php b/interface/billing/sl_eob_search.php
index 4d75f4aedfd..e6b99887557 100644
--- a/interface/billing/sl_eob_search.php
+++ b/interface/billing/sl_eob_search.php
@@ -695,7 +695,7 @@ function npopup(pid) {
     // in the ar_activity table marked with a PCP in the account_code column.
     $query = "SELECT f.id, f.pid, f.encounter, f.date, " .
       "f.last_level_billed, f.last_level_closed, f.last_stmt_date, f.stmt_count, " .
-      "p.fname, p.mname, p.lname, p.pubpid, p.genericname2, p.genericval2, " .
+      "p.fname, p.mname, p.lname, p.pubpid, p.billing_note, " .
       "( SELECT SUM(b.fee) FROM billing AS b WHERE " .
       "b.pid = f.pid AND b.encounter = f.encounter AND " .
       "b.activity = 1 AND b.code_type != 'COPAY' ) AS charges, " .
@@ -911,7 +911,7 @@ function npopup(pid) {
 
       // Determine if customer is in collections.
       //
-      $billnote = ($row['genericname2'] == 'Billing') ? $row['genericval2'] : '';
+      $billnote = $row['billing_note'];
       $in_collections = stristr($billnote, 'IN COLLECTIONS') !== false;
 ?>
  <tr bgcolor='<?php echo $bgcolor ?>'>
@@ -1018,12 +1018,12 @@ function npopup(pid) {
 
       // Get billing note to determine if customer is in collections.
       //
-      $pdrow = sqlQuery("SELECT pd.genericname2, pd.genericval2 FROM " .
+      $pdrow = sqlQuery("SELECT pd.billing_note FROM " .
         "integration_mapping AS im, patient_data AS pd WHERE " .
         "im.foreign_id = " . $row['custid'] . " AND " .
         "im.foreign_table = 'customer' AND " .
         "pd.id = im.local_id");
-      $row['billnote'] = ($pdrow['genericname2'] == 'Billing') ? $pdrow['genericval2'] : '';
+      $row['billnote'] = $pdrow['billing_note'] ;
       $in_collections = stristr($row['billnote'], 'IN COLLECTIONS') !== false;
 ?>
  <tr bgcolor='<?php echo $bgcolor ?>'>
diff --git a/interface/main/calendar/find_patient.php b/interface/main/calendar/find_patient.php
index 05eebad0fb1..b8eb6a48fda 100644
--- a/interface/main/calendar/find_patient.php
+++ b/interface/main/calendar/find_patient.php
@@ -285,13 +285,13 @@ function newEvt(startampm, starttimeh, starttimem, eventdate, providerid, patien
     // what, regardless it gets special coloring and an extra line of output
     // in the 'name' column -- JRM
     $trClass = "oneresult";
-    if ($iter['genericname2'] == 'Billing') { $trClass .= " billing"; }
+    if (!empty($iter['billing_note'])) { $trClass .= " billing"; }
 
     $trTitle = xl("Make new appointment for") . " " . $iterfname . " " . $iterlname;
         
     echo " <tr class='".$trClass."' id='".htmlspecialchars( $iterpid."~".$iterproviderid, ENT_QUOTES)."' title='".htmlspecialchars( $trTitle, ENT_QUOTES)."'>";
     echo "  <td class='srName'>".htmlspecialchars( $iterlname.", ".$iterfname." ".$itermname, ENT_NOQUOTES);
-    if ($iter['genericname2'] == 'Billing') { echo "<br>".htmlspecialchars( $iter['genericval2'], ENT_NOQUOTES); }
+    if (!empty($iter['billing_note'])) { echo "<br>".htmlspecialchars( $iter['billing_note'], ENT_NOQUOTES); }
     echo "</td>\n";
     echo "  <td class='srPhone'>" . htmlspecialchars( $iter['phone_home'], ENT_NOQUOTES) . "</td>\n"; //(CHEMED) Search by phone number
     echo "  <td class='srSS'>" . htmlspecialchars( $iter['ss'], ENT_NOQUOTES) . "</td>\n";
diff --git a/interface/main/calendar/find_patient_popup.php b/interface/main/calendar/find_patient_popup.php
index b014ec30df0..bacbba563ec 100644
--- a/interface/main/calendar/find_patient_popup.php
+++ b/interface/main/calendar/find_patient_popup.php
@@ -227,12 +227,12 @@ function selpid(pid, lname, fname, dob) {
     // what, regardless it gets special coloring and an extra line of output
     // in the 'name' column -- JRM
     $trClass = "oneresult";
-    if ($iter['genericname2'] == 'Billing') { $trClass .= " billing"; }
+    if (!empty($iter['billing_note'])) { $trClass .= " billing"; }
 
     echo " <tr class='".$trClass."' id='" .
         htmlspecialchars( $iterpid."~".$iterlname."~".$iterfname."~".$iterdob, ENT_QUOTES) . "'>";
     echo "  <td class='srName'>" . htmlspecialchars( $iterlname.", ".$iterfname." ".$itermname, ENT_NOQUOTES);
-    if ($iter['genericname2'] == 'Billing') { echo "<br>" . htmlspecialchars( $iter['genericval2'], ENT_NOQUOTES); }
+    if (!empty($iter['billing_note'])) { echo "<br>" . htmlspecialchars( $iter['billing_note'], ENT_NOQUOTES); }
     echo "</td>\n";
     echo "  <td class='srPhone'>" . htmlspecialchars( $iter['phone_home'], ENT_NOQUOTES) . "</td>\n"; //(CHEMED) Search by phone number
     echo "  <td class='srSS'>" . htmlspecialchars( $iter['ss'], ENT_NOQUOTES) . "</td>\n";
diff --git a/interface/new/new_patient_save.php b/interface/new/new_patient_save.php
index edd2f72cb73..d5886545ec3 100644
--- a/interface/new/new_patient_save.php
+++ b/interface/new/new_patient_save.php
@@ -101,6 +101,7 @@
     "", // genericval1
     "", // genericname2
     "", // genericval2
+	"", //billing_note
     "", // phone_cell
     "", // hipaa_mail
     "", // hipaa_voice
diff --git a/interface/patient_file/summary/demographics.php b/interface/patient_file/summary/demographics.php
index 0a1929fe205..c4121dbc11e 100644
--- a/interface/patient_file/summary/demographics.php
+++ b/interface/patient_file/summary/demographics.php
@@ -706,12 +706,12 @@ function setMyPatient() {
    xlt('Total Balance Due').
    " : " . text(oeFormatMoney($totalbalance)) .
    "</font></span></td></td></tr>";
-  if ($result['genericname2'] == 'Billing') {
+ if (!empty($result['billing_note'])) {
    echo "<tr><td><span class='bold'><font color='red'>" .
     xlt('Billing Note') . ":" .
-    text($result['genericval2']) .
+    text($result['billing_note']) .
     "</font></span></td></tr>";
-  } 
+ }  
   if ($result3['provider']) {   // Use provider in case there is an ins record w/ unassigned insco
    echo "<tr><td><span class='bold'>" .
     xlt('Primary Insurance') . ': ' . text($insco_name) .
diff --git a/interface/patient_file/summary/pnotes.php b/interface/patient_file/summary/pnotes.php
index 9ea9bf5b258..a3760b5ace8 100644
--- a/interface/patient_file/summary/pnotes.php
+++ b/interface/patient_file/summary/pnotes.php
@@ -112,11 +112,9 @@
 $billing_note = "";
 $colorbeg = "";
 $colorend = "";
-$sql = "select genericname2, genericval2 " .
-    "from patient_data where pid = ? limit 1";
-$resnote = sqlQuery($sql, array($patient_id) );
-if($resnote && $resnote['genericname2'] == 'Billing') {
-  $billing_note = $resnote['genericval2'];
+$resnote = getPatientData($patient_id, "billing_note");
+if(!empty($resnote['billing_note'])) {
+  $billing_note = $resnote['billing_note'];
   $colorbeg = "<span style='color:red'>";
   $colorend = "</span>";
 }
diff --git a/interface/patient_file/summary/pnotes_full.php b/interface/patient_file/summary/pnotes_full.php
index 93dbffdb9f9..28b5e70fc7c 100644
--- a/interface/patient_file/summary/pnotes_full.php
+++ b/interface/patient_file/summary/pnotes_full.php
@@ -287,9 +287,9 @@ function show_div(name){
 $billing_note = "";
 $colorbeg = "";
 $colorend = "";
-$resnote = getPatientData($patient_id, "genericname2, genericval2");
-if($resnote && $resnote['genericname2'] == 'Billing') {
-  $billing_note = $resnote['genericval2'];
+$resnote = getPatientData($patient_id, "billing_note");
+if(!empty($resnote['billing_note'])) {
+  $billing_note = $resnote['billing_note'];
   $colorbeg = "<span style='color:red'>";
   $colorend = "</span>";
 }
diff --git a/interface/reports/collections_report.php b/interface/reports/collections_report.php
index c1e31a5f5c3..0c1bec54c02 100644
--- a/interface/reports/collections_report.php
+++ b/interface/reports/collections_report.php
@@ -165,8 +165,7 @@ function endPatient($ptrow) {
 
     if (!$_POST['form_without']) {
       sqlStatement("UPDATE patient_data SET " .
-        "genericname2 = 'Billing', " .
-        "genericval2 = CONCAT('IN COLLECTIONS " . date("Y-m-d") . "', genericval2) " .
+        "billing_note = CONCAT('IN COLLECTIONS " . date("Y-m-d") . "', billing_note) " .
         "WHERE pid = ? ", array($ptrow['pid']));
     }
     $export_patient_count += 1;
@@ -618,7 +617,7 @@ function checkAll(checked) {
     $query = "SELECT f.id, f.date, f.pid, CONCAT(w.lname, ', ', w.fname) AS provider_id, f.encounter, f.last_level_billed, " .
       "f.last_level_closed, f.last_stmt_date, f.stmt_count, f.invoice_refno, " .
       "p.fname, p.mname, p.lname, p.street, p.city, p.state, " .
-      "p.postal_code, p.phone_home, p.ss, p.genericname2, p.genericval2, " .
+      "p.postal_code, p.phone_home, p.ss, p.billing_note, " .
       "p.pubpid, p.DOB, CONCAT(u.lname, ', ', u.fname) AS referrer, " .
       "( SELECT SUM(b.fee) FROM billing AS b WHERE " .
       "b.pid = f.pid AND b.encounter = f.encounter AND " .
@@ -707,7 +706,7 @@ function checkAll(checked) {
       $row['ss']        = $erow['ss'];
       $row['DOB']       = $erow['DOB'];
       $row['pubpid']    = $erow['pubpid'];
-      $row['billnote']  = ($erow['genericname2'] == 'Billing') ? $erow['genericval2'] : '';
+      $row['billnote']  = (!empty($erow['billing_note'])) ? $erow['billing_note'] : '';
       $row['referrer']  = $erow['referrer'];
       $row['provider']  = $erow['provider_id'];
       $row['irnumber']  = $erow['invoice_refno'];
@@ -995,7 +994,7 @@ function checkAll(checked) {
       $row['inactive_days'] = floor((time() - $latime) / (60 * 60 * 24));
 
       $pdrow = sqlQuery("SELECT pd.fname, pd.lname, pd.mname, pd.ss, " .
-        "pd.genericname2, pd.genericval2, pd.pid, pd.pubpid, pd.DOB, " .
+        "pd.billing_note, pd.pid, pd.pubpid, pd.DOB, " .
         "CONCAT(u.lname, ', ', u.fname) AS referrer FROM " .
         "integration_mapping AS im, patient_data AS pd " .
         "LEFT OUTER JOIN users AS u ON u.id = pd.ref_providerID " .
@@ -1006,7 +1005,7 @@ function checkAll(checked) {
       $row['ss'] = $pdrow['ss'];
       $row['DOB'] = $pdrow['DOB'];
       $row['pubpid'] = $pdrow['pubpid'];
-      $row['billnote'] = ($pdrow['genericname2'] == 'Billing') ? $pdrow['genericval2'] : '';
+      $row['billnote'] = $pdrow['billing_note'];
       $row['referrer'] = $pdrow['referrer'];
       
       $ptname = $pdrow['lname'] . ", " . $pdrow['fname'];
diff --git a/library/patient.inc b/library/patient.inc
index fd0b14b455a..4cb24595a32 100644
--- a/library/patient.inc
+++ b/library/patient.inc
@@ -784,6 +784,7 @@ function newPatientData(    $db_id="",
                 $genericval1 = "",
                 $genericname2 = "",
                 $genericval2 = "",
+                $billing_note="",
                 $phone_cell = "",
                 $hipaa_mail = "",
                 $hipaa_voice = "",
@@ -856,6 +857,7 @@ function newPatientData(    $db_id="",
         genericval1 = '$genericval1',
         genericname2 = '$genericname2',
         genericval2 = '$genericval2',
+        billing_note= '$billing_note';
         phone_cell = '$phone_cell',
         pharmacy_id = '$pharmacy_id',
         hipaa_mail = '$hipaa_mail',
diff --git a/sql/4_3_0-to-4_3_1_upgrade.sql b/sql/4_3_0-to-4_3_1_upgrade.sql
index 4d68f5e0b97..308b7667cb2 100644
--- a/sql/4_3_0-to-4_3_1_upgrade.sql
+++ b/sql/4_3_0-to-4_3_1_upgrade.sql
@@ -118,3 +118,12 @@ INSERT INTO `rule_reminder` ( `id`, `method`, `method_detail`, `value` ) VALUES
 INSERT INTO `rule_target` ( `id`, `group_id`, `include_flag`, `required_flag`, `method`, `value`, `interval` ) VALUES ('rule_inr_measure', 1, 1, 1, 'target_proc', 'INR::CPT4:85610::::::ge::1', 0);
 #EndIf
 
+#IfMissingColumn patient_data billing_note
+SET @group_name = (SELECT group_name FROM layout_options WHERE field_id='lname' AND form_id='DEM');
+SET @backup_group_name = (SELECT group_name FROM layout_options WHERE field_id='DOB' AND form_id='DEM');
+SET @seq = (SELECT MAX(seq) FROM layout_options WHERE group_name = IFNULL(@group_name,@backup_group_name) AND form_id='DEM');
+INSERT INTO `layout_options` (`form_id`, `field_id`, `group_name`, `title`, `seq`, `data_type`, `uor`, `fld_length`, `max_length`, `list_id`, `titlecols`, `datacols`, `default_value`, `edit_options`, `description`) VALUES ('DEM', 'billing_note', IFNULL(@group_name,@backup_group_name), 'Billing Note', @seq+1, 2, 1, 60, 0, '', 1, 3, '', '', 'Patient Level Billing Note (Collections)' ) ;
+ALTER TABLE patient_data ADD COLUMN billing_note text NOT NULL default '';
+UPDATE `patient_data` SET `billing_note` = `genericval2` WHERE `genericname2` = 'Billing';
+UPDATE `patient_data` SET `genericval2` = '', `genericname2` = '' WHERE `genericname2` = 'Billing';
+#EndIf
diff --git a/sql/database.sql b/sql/database.sql
index 43b678ba03c..2f15a1f7431 100644
--- a/sql/database.sql
+++ b/sql/database.sql
@@ -2715,6 +2715,7 @@ INSERT INTO `layout_options` (`form_id`,`field_id`,`group_name`,`title`,`seq`,`d
 INSERT INTO `layout_options` (`form_id`,`field_id`,`group_name`,`title`,`seq`,`data_type`,`uor`,`fld_length`,`max_length`,`list_id`,`titlecols`,`datacols`,`default_value`,`edit_options`,`description`,`fld_rows`) VALUES ('DEM', 'genericval2', '1Who', '', 14, 2, 1, 15, 63, '', 0, 0, '', '', 'User Defined Field', 0);
 INSERT INTO `layout_options` (`form_id`,`field_id`,`group_name`,`title`,`seq`,`data_type`,`uor`,`fld_length`,`max_length`,`list_id`,`titlecols`,`datacols`,`default_value`,`edit_options`,`description`,`fld_rows`) VALUES ('DEM', 'squad', '1Who', 'Squad', 15, 13, 0, 0, 0, '', 1, 3, '', '', 'Squad Membership', 0);
 INSERT INTO `layout_options` (`form_id`,`field_id`,`group_name`,`title`,`seq`,`data_type`,`uor`,`fld_length`,`max_length`,`list_id`,`titlecols`,`datacols`,`default_value`,`edit_options`,`description`,`fld_rows`) VALUES ('DEM', 'pricelevel', '1Who', 'Price Level', 16, 1, 0, 0, 0, 'pricelevel', 1, 1, '', '', 'Discount Level', 0);
+INSERT INTO `layout_options` (`form_id`,`field_id`,`group_name`,`title`,`seq`,`data_type`,`uor`,`fld_length`,`max_length`,`list_id`,`titlecols`,`datacols`,`default_value`,`edit_options`,`description`,`fld_rows`) VALUES ('DEM', 'billing_note', '1Who', 'Billing Note', 17, 2, 1, 60, 0, '', 1, 3, '', '', 'Patient Level Billing Note (Collections)', 0);
 INSERT INTO `layout_options` (`form_id`,`field_id`,`group_name`,`title`,`seq`,`data_type`,`uor`,`fld_length`,`max_length`,`list_id`,`titlecols`,`datacols`,`default_value`,`edit_options`,`description`,`fld_rows`) VALUES ('DEM', 'street', '2Contact', 'Address', 1, 2, 1, 25, 63, '', 1, 1, '', 'C', 'Street and Number', 0);
 INSERT INTO `layout_options` (`form_id`,`field_id`,`group_name`,`title`,`seq`,`data_type`,`uor`,`fld_length`,`max_length`,`list_id`,`titlecols`,`datacols`,`default_value`,`edit_options`,`description`,`fld_rows`) VALUES ('DEM', 'city', '2Contact', 'City', 2, 2, 1, 15, 63, '', 1, 1, '', 'C', 'City Name', 0);
 INSERT INTO `layout_options` (`form_id`,`field_id`,`group_name`,`title`,`seq`,`data_type`,`uor`,`fld_length`,`max_length`,`list_id`,`titlecols`,`datacols`,`default_value`,`edit_options`,`description`,`fld_rows`) VALUES ('DEM', 'state', '2Contact', 'State', 3, 26, 1, 0, 0, 'state', 1, 1, '', '', 'State/Locality', 0);
@@ -4929,6 +4930,7 @@ CREATE TABLE `patient_data` (
   `migrantseasonal` varchar(255) NOT NULL default '',
   `family_size` varchar(255) NOT NULL default '',
   `monthly_income` varchar(255) NOT NULL default '',
+  `billing_note` text NOT NULL default '',
   `homeless` varchar(255) NOT NULL default '',
   `financial_review` datetime default NULL,
   `pubpid` varchar(255) NOT NULL default '',
diff --git a/version.php b/version.php
index a350a25b63c..8b5ced7ac37 100644
--- a/version.php
+++ b/version.php
@@ -17,7 +17,7 @@
 // is a database change in the course of development.  It is used
 // internally to determine when a database upgrade is needed.
 //
-$v_database = 158;
+$v_database = 159;
 
 // Access control version identifier, this is to be incremented whenever there
 // is a access control change in the course of development.  It is used