@bearzillasquatch -
You are correct in what you said just now-- I realized I had mis-red your original post so was correcting mine when you replied to my latest! ![:slight_smile: :slight_smile:](https://community.open-emr.org/images/emoji/twitter/slight_smile.png?v=12)
I sympathize with your wish to be able to charge a no-show fee without creating an encounter, but OpenEMR’s patient records are almost completely encounter dependent. Everything that happens to a patient is associated with an encounter. But that’s good: if you want to run a report to find how many times a patient pulled a no-show, or how many no-shows have occurred in your practice over a period, that report looks at encounter statuses.
You can set the status type of ‘No Show’ to create the appointment and so reduce the number of clicks involved: In ‘Admin/ Forms/ Lists’ open the Appointment Status list and select ‘Check In’ for the ‘No Show’ status. That will make that status be a ‘Check- in’ operation which will create the encounter form when that status is selected.
![Screenshot at 2023-12-13 10-46-03](//discourse-uploads-openemr.s3.dualstack.us-east-1.amazonaws.com/original/3X/2/b/2b2d992571c65694846b41cfed1ad71045ca38bf.png)
If you were thinking of customizing your system to avoid using encounters you might instead invest the dev time in automatically adding the no-show fee to the encounter’s fee sheet when the ‘? No Show’ status is selected. But that’s getting into the dev business and I am not a dev.
Good luck- Harley