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Member Ledger

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Generate an itemized report of cost of services for a member.

  1. Go to: Avatar MSO > Membership Management Reports > Member Ledger.
  2. In the Select A Member field, enter the member's name followed by "%".
  3. Select Find.
  4. In the Select Individual Or All Providers field:
    • Select the provider.
    • Select All to generate a report for all providers.
  5. In the Include Services On Or After field, enter the report start date.
  6. In the Up To And Including field, enter the report end date.
  7. Select OK.
  8. The report details service cost for a member, and the following information:
    • 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.
    • Provider Totals
    • Total Amount Paid - sum of expected disbursement for the member.
    • Total Amount Billed - sum of amount billed for the member.