Cost of Service By Client

Generate an itemized report of the cost of services associated to unenrolled clients.

Prerequisites:

• This form is only available when the Require Member Enrollment registry setting is set to 'N'.

1. ---

   Go to: Avatar MSO > Membership Management Reports > Cost of Service By Client.
2. In the Individual Or All Members field:
   • Select All to generate a report for all clients.
   • Select Individual to generate a report for a single client.
     • Search for and select the specific person in the Client field.
3. In the Service From Date field, enter the first service date to include in the report.
4. In the Service Through Date field, enter the last service date to include in the report.
5. Select Process Report.
   Result: The report details service cost, and the following information:
   • Date Of Svc  -service date
   • Proc Code - CPT or revenue code. (C - CPT, R - Revenue) followed by the code.
   • A/P/D - (Approved/ Pending/ Denied) - status of the service authorization.
   • Tot Fee Table Amt - cost of service.
   • Expected Disburse - service cost minus a member deductible, or co-pay.
   • Member Copay - the copay amount for the member.
   • Member Deductible - the deductible amount for the member.
   • Auth Number - service authorization number.
   • Amt Billed - charge amount entered in the claims processing form.
   • Provider Totals
     • Total Amount Paid - sum of expected disbursement for the member.
     • Total Amount Billed - sum of amount billed for the member.