OP5023 - Claim Denials

Function:

Track denials of claims as entered in Payments And Adjustments form or the Billed Payers tab of the Patient Account.

 

Usage:

• Select a Denial Date range.  
• Optionally, select Payer(s) and/or Denial Code(s).
• Sort the results by Denial Code, Denial Date, Payer Name, or Patient Name (sorts alphabetically).
• Results can be grouped by Denial Code or Payer Name.
• Select Display Detail to review the EOB Reason Codes applied to each billed CPT Code.

 

Hints and Tips:

The visit level denial data that pulls into this report, whether from the Payments And Adjustments form or the Patient Account, is manually entered. For this report to be effective in tracking denials, it is important to ensure that this data entry process is being followed.

 

Sample Output:

For more information on report output options, view Reports Overview help page.

 

Report Filter: