Month End: Paid Claims by Financial Class by Visit
The Month End Paid Claims by Financial by Visit report helps clinics understand the amount collected from insurance companies by insurance class or clinic. This report only contains data for visits that have been fully paid, meaning the charges = payments + adjustments. This provides better insight into overall reimbursement rates.
Run the Report
- Navigate to the Month End Reports menu and select Paid Claims by Financial Class by Visit.
- Indicate the Company, Month, Year, and Location you want to analyze, then click Search.
- This report displays claims broken down by Financial Class and Visits.
Note: The entire visit must have a balance of zero to be included.
Column Descriptions
- InsClass Code: The identifier assigned to the insurance class
- InsClass Description: The name of the insurance class
- Location: Name of the Location where the patient was treated
- Visits: The total number of fully resolved visits where the charge amount = payments + adjustments
- Charges: The total amount billed for the selected month
- Payments: The total insurance and patient payments for the included visits, by deposit date
- Adjustments: The total insurance and patient adjustments for the included visits, by deposit date
- Charge Per Billing Visit: The average dollar amount charged per visit
- Payment Per Billing Visit: Average dollar amount paid by the insurance and patients. This is an average of the last six months of data.
- Adjusted Amount Per Billing Visit: Average dollar amount adjusted off by the insurance and for the patient per visit
- Collection %: Calculated using the formula (Payments/Charges)