Authorizations report fields
Path: Reports>Financial>Authorizations Report
Path: Claims>Reports>Authorizations Report
| Field Name | Description |
|---|---|
|
Patient |
Patient's last, first, and middle name. Patient's number. |
|
Branch |
Branch to which the Patient is assigned during the time range. |
|
Status |
Patient's status. |
|
Team |
Team to which the Patient is assigned during the time range. |
|
Care Team |
Clinicians assigned to the Patient as selected on the Define tab. |
|
Authorization Number |
The authorization number assigned by the payer and entered by the user. |
|
From |
Start date of the authorization specified by the user. |
|
Through |
End date of the authorization specified by the user. |
|
Insurance |
Authorization's payer (Insurance Code). |
|
Notes |
Notes specified in Patient>General>Authorizations. |
|
Level of Care |
LOC defined by the user. |
|
Authorizations Description |
LOC, Requested, and Authorized authorization levels description. |
|
Requested |
Description of the requested number of units for the LOC. |
|
Authorized |
Description of the authorized number of units for the LOC. |
|
Number |
Shows the number of requested, authorized, and denied units for the LOC. |
|
Requested |
Number of units calculated as requested. |
|
Authorized |
Number of units calculated as authorized. |
|
Denied |
Denied is the difference between the number of units requested and authorized by the payer. |
|
Utilization |
Shows the provided, scheduled levels, and the number of units over or under authorized when the provided and scheduled levels are added. |
|
Verified Provided |
The units attached to the authorization for the level reported that have a verified status. For LOC days the end of the day is used for verified (after midnight). |
|
Remaining Scheduled |
The units attached to the authorization for the level reported that do not have a verified or unmade status. For LOC days this is the number of days remaining in the authorization. |
|
Over |
Number of units that exceeded the authorized limit. Number Authorized - (Verified Provided + Remaining Scheduled). |
|
Under |
Number of units under the authorization. Number Authorized - (Verified Provided + Remaining Scheduled). |
|
Services |
This section shows all services attached to the authorizations including services that do not fall within the date range of the report. |
|
Date Provided |
Date of the service provided. |
|
Employee |
Full name of the resource providing the service. If no resource scheduled for the service, this section displays Null. |
|
Service |
Service code and service code description. |
|
Billable |
Section displays if the service is billable:
|
|
Status |
Section displays if the service is verified:
|