Month End: Paid Claims by Insurance Class by Charge
The Month End Paid Claims by Insurance Class by Charge report helps clinics understand the amount collected from insurance companies by Insurance Codes, Providers, and Assistants. 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. The entire visit must have a balance of zero to be included.
Run the Report
- Navigate to the Month End Reports menu and select Paid Claims by Insurance Class by Charge.
- Indicate the Company, From Date, Through Date, and Location you want to analyze, then click Search.
- This report display claims broken down by Financial Class, Providers, and Assistants. For more detailed data, drill down further on Insurance Code, Provider, or PTA.
Column Descriptions
- Insurance Code: The identifier assigned to the insurance class
- Insurance Class Description: The name of the insurance class
- Location: Name of 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)
- Provider: Provider associated with the charge
- PTA: Assistant associated with the charge