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Voucher Report

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Generate a report that lists all claimed services in a voucher (Create Voucher form).

Avatar MSO > Claim Processing Reports > Voucher Report

  1. Upon opening the form, the report launches. An Enter Report Parameters window appears.

  2. In the Select Voucher To Display field, select the voucher ID.

  3. Click Ok.

  • The report details voucher 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.

  • Third Party Paid - amount paid by a third party payor

  • Total Paid to Provider - sum of all expected disbursement for the member.