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Billing Register – Patient Listing

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Path: Claims > Process > Process a Cycle

Patient Listing – All Payers

 Patient listing is grouped by billing category (payer) and then by patient.

Column Description

ID

Patient's code.

Patient Name

Patient's first, last, and middle names.

Company

Patient's insurance company.

Type

Patient insurance type.

From Date

Start date of the claim.

Thru Date

End date of the claim.

Gross Amt

Billing rate gross amount set by the agency.

Net Amt

Billing rate net amount paid by the insurance.

 

The Claim Type column is available for patients with coinsurance and episodic payers.

Claim coinsurance values can be:

  • Pri Coins (Primary coinsurance claim)
  • Sec Coins (Secondary coinsurance claim)
  • Last Coins (Last coinsurance claim)

The type is based on the UB-04 rules for the type of bill; it may not be applicable for all payers.

Voids are shown as negative numbers.

The report also includes:

  • Service Intensity Add-On (SIA) payment, if it is applicable
  • Details and Drill- down windows show the portion of the claim total that is related to SIA. For more information about this SIA payment, see Hospice Payment Reform.

Episodic claim values can be:

  • RAP or Interim (Initial claim)
  • RAP Reversal (Initial claim when Final is LUPA and is shown as negative numbers)
  • Final LUPA, Final Known LUPA (LUPA claim without RAP)
  • LUPA No Svcs (LUPA claim without services)
  • Final PEP
  • Final Outlier
  • Final Down coding
  • Final Up coding
  • Final Full
  • Episodic Info (Final claim with 0 gross and net)