Abstract: The systems methods described herein incorporate on teamwork in which all of the participants (patients, medical staff, and medical care providers), contribute to the medical visit, medical record generation, and billing for the visit. The systems and methods include three aspects, which are referred to herein as portals: 1) a patient portal 130, which allows patients to interact with the system; 2) a clinical portal 150, which serves as a medium in which medical staff and providers interact with the system; and 3) a billing portal 170, which serves as a medium in which the medical providers and billing personnel interact with the system.