Paid Claims by Financial Class by Visit Report

The Paid Claims by Financial Class by Visit report shows paid claims broken down by Financial Class, Providers, and Assistants. It's a key report to run for end-of-the-month data, to review visits that have been paid. The entire visit must have a balance of zero to be included.

  1. Navigate to the Reports menu and select Paid Claims by Financial Class by Visit.
  2. Enter your search criteria and click Search.
    1. The Company defaults to the company you’re currently logged into. Use the drop-down menu to select a different company, if applicable.
    2.  The Practice and Location both default to All Practices. Narrow your search results by selecting a Practice and/or Location. Otherwise, you can leave these fields set to all.
    3. You must select a Start and End Date for the Date Range.
    4. From the Group By drop-down, select either Insurance Class or Payer.
  3. Depending on how search criteria is Grouped By will determine results.    
    1. Searching by Insurance Class will provide charge and payment details based on the Insurance Class. Click on Class to drill down further.
      1. Class: The type of insurance class by their specific code.
      2. Payer Code: A unique ID assigned to each insurance company.
      3. Visits: Sum of visits associated with dates of service.
      4. Charges: Total charges billed for the date range selected.
      5. Payments: Outputs the total amount of payments with a deposit date within the parameters associated with each place of service.
      6. Adjustments: Outputs the total amount of adjustments with a deposit date within the parameters associated with each place of service.
      7. Charges/Visit: Charge amount per visit.
      8. Payments/Visits: Payment amount per visit.
      9. Adjustments/Visits: Adjustment amount per visit.
      10. Collection %: Calculated using the formula (Payments/Charges)
      11. Provider: Breaks down the report by specific providers and/or assistants. This will provide detailed information on their paid claims by visits and collection percentage by insurance class.
      12. Assistant: Breaks down the report by specific providers and/or assistants. This will provide detailed information on their paid claims by visits and collection percentage by insurance class. 
    2. Searching by Payer will provide charge and payment details by Payer Code. Click on Payer Code to drill down further.
  4. Drilling down on either Class or Payer Code will bring you to a single report that's broken down by Insurance Code. Clicking one of the codes listed will take you to CPT codes that make up the insurance code totals and their transaction details.
  5. Lastly, click on a Procedure to view a list of patients that make up the procedure code detail.

    Note: With this report, you can drill down, sort, and filter information to get to the important key metrics. To review how, click here.