The Predetermination Received Report displays details for all predeterminations that have been received.
Predetermination Received - Filters
- Providers: Filters the report by the patient provider associated to the predetermination.
- Offices: Filters the report by the office provider associated to the predetermination.
- Insurances: Filters the report by the Insurance associated to the predetermination.
- Procedures: Filters the report by the procedure(s) associated to the predetermination.
- Plans: Filters the report by the Insurance Plan associated to the predetermination.
- Predetermination Received Start/End Date: Filters the report by the date range in which the predetermination was received.
- Plan Type: Filters the report by Plan Type.
- Procedures Include Modifiers: Filters the report to include procedures that contain modifiers.
The report displays results in the below columns:
- Insurance Company: The first column displays the name of each insurance company.
- Charges: The Charges column totals the number of predetermination charges for the designated insurance company.
- Avg. Days Open: This column calculates the average days a predetermination remains open.
- Applied Payments: The next column displays the total applied payments for the specified insurance company.
- % of Paid: Finally, the % of Paid column shows what percentage of all predeterminations have been paid from the insurance company.
Each record will display additional information in the following columns:
- Plan Name: This column displays the Insurance Company Plan name.
- Charges: The Charges column totals the number of predetermination charges for the specific insurance plan.
- Avg. Days Open: This column calculates the average days a predetermination remains open.
- Applied Payments: The next column displays the total applied payments for the designated insurance plan.
- % of Paid: The % of Paid column shows what percentage of all predeterminations have been paid by the specified insurance plan.
- Patient Last, First: The first column displays the patients name (last name, first name).
- Code: The next column provides the procedure code.
- Description: This column lists a description of the designated procedure.
- Days Open: The Days Open column displays the number of days the predetermination has been open.
- Fee: This column lists the fee associated to the procedure.
- Paid: The Paid column shows the dollar amount paid on the predetermination.
- Allowed: The next column displays the allowed amount for the code, as entered in References > Insurance Companies > Plans > Allowed. If no allowed amount is entered, it will read 0.00.
- % Paid: Lastly, the % Paid column displays the percent paid on the specified procedure.
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