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Field | Calculation Formula | Description |
---|---|---|
Provider | The name of the provider (last name, first name) who performed the procedure on the case. | |
NPI | The national provider identification number issued to the provider. | |
Facility | The name of the facility where the patient was treated. | |
CPT | The procedure code of the procedure performed. | |
DOS | The date the procedure was performed. | |
Qty | The quantity of the procedure. | |
Billed Amt | The amount billed to the payer. | |
Balance | The current balance of the claim. | |
Rank | The insurance ranking of the payer (1=primary, 2=secondary and 3=tertiary). | |
Claim | The identification number issued to the claim when it was generated. | |
Last Claim | The date that the claim was generated. | |
Member # | The identification number of the member. | |
Group # | The identification number of the group. | |
Days O/S | The number of days outstanding since the claim was generated. |
Option | Type | Required | Description |
---|---|---|---|
Date of Service Begin | Drop Down | Yes | Filters by the beginning date of the date of service for the claims that you want to include in the report. By default, this filter is set to January 01 of the current year, for example,12 -01-01. |
Date of Service End | Drop Down | Yes | Filters by the ending date of the date of service for the claims that you want to include in the report. By default, this filter is set to the current date. |
Facilities | List Selection | Yes | Filters by all facilities or by one or more facilities. By default, this filter is set to All Facilities. |
Financial Classes | List Selection | Yes | Filters by one or more of the following options: Commercial, Medicare, Medicaid, Workers Comp, or Self-Pay. |
Payers | List Selection | Yes | Filters by all payers or by one or more payers. By default, this filter is set to All Payers. |
Plans | List Selection | Yes | Filters by all plans or by one or more plans. By default, this filter is set to All Plans. |
Practices | List Selection | Yes | Filters by all practices or by one or more practices. By default, this filter is set to All Practices. |
Procedure Categories | List Selection | Yes | Filters by all procedure categories or by one or more procedure categories. By default, this filter is set to All Categories. |
Providers | List Selection | Yes | Filters by all providers or by one or more providers. By default, this filter is set to All Providers. |