Provider's Denied Services

Generate a report that lists denied claims for a date range.

1. ---

   Go to: Avatar MSO > Provider Management Reports > Provider's Denied Services
2. In the Individual Or All Providers field:
   • Select a provider.
     or
   • Select All to generate a report for all providers.
3. In the Include Services On Or After field, enter the report start date.
4. In the Up To And Including field, enter the report end date.
5. Select OK.
   Result: The report details service information, and the following:

• Batch Status - either Active, Closed, or Pending.
• 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 - contracting provider authorized to perform the services.