Denied Services By Procedure Code

Generate a report that lists claimed services filed as denied (in claims processing forms) for a date range.

Avatar MSO > Claim Processing Reports > Denied Services By Procedure Code

1. In the Individual Or All Providers field:

• Select a provider.
  or
• Select All to generate a report for all providers.

2. In the Display Services Occurring On Or After field, enter the report start date.

3. In the Up To And Including field, enter the report end date.

4. Click OK.

The report details service information, and the following:

• 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.

• Auth Number - service authorization number.

• Amt Billed - charge amount entered in the claims processing form.