This screen will display claims selected from the Claim Credit Select screen allowing the entry and processing details of the refund(s).
![](//dyzz9obi78pm5.cloudfront.net/app/image/id/6527ffa9a5f08e6aa73bea68/n/1697120169297.png)
This screen will display claims selected from the Claim Credit Select screen allowing the entry and processing details of the refund(s).
![](http://dyzz9obi78pm5.cloudfront.net/app/image/id/6527ffa9a5f08e6aa73bea68/n/1697120169297.png)
Fields
The Refund Details table, contains the following fields:
Refundee: The responsible party that will be refunded.
Max. Refund: The maximum amount available for refund.
Tot. Refund: The total amount accounted for to be refunded.
Payment Type: The payment type that will be associated with the refund.
Claim ID: The system identification number assigned to the claim. Link to open claim by clicking onto the claim ID
Claim DOS: The date of service for the claim.
Level: The level listed on the claim (Primary, Secondary, Tertiary, Statement)
Payer: The Payer listed on the claim also associated with the level.
Charges: Total charges billed out on the claim
Payments: All payments applied to claim
Adjustments: Total of all adjustments made on the claim
Balance: The current credit balance of this claim.
Actions: Amount that will be refunded with a tooltip explaining where the refund will go
Refund Notes: A note that will be added to this refund once saved.
Save: Saves entries from above.