After drilling into the Claim Submission Report, you will see the Claim Submission Report with the appropriate detail based on your selection.
The Claim Submission Report contains the following information:
- Claim ID: The ID of the claim. This selection will open the selected claim.
- Created: The date the claim was created.
- Claim Status: The current claim status.
- DOS: The date of service of the claim.
- Claim Charges: The total charge on the claim
- Claim Balance: The total remaining balance on the claim.
- Rejection: The rejection reason on the claim.
- Last Submission: The last date the claim was submitted.
- Submission ID: The claim submission id the claim is displaying for.
- Submission Date: The date of the claim submission the claim is displaying for.
- Submission Type: The payer level the claim was submitted for (primary, secondary, or tertiary).
- Submission Method: The method the claim was submitted (electronic or paper).
- Submission Payer: The payer the claim was submitted to.
- Submission Count: The total number of times the claim has been submitted.
- Patient ID: The patient's account number.
- Patient Name: The full name of the patient, in "[Last Name], [First Name] [Middle Name]" format.
- Primary Count: The number of times the claim has been submitted to the primary payer.
- Primary Payer: The primary payer on the claim.
- Secondary Count: The number of times the claim has been submitted to the secondary payer.
- Secondary Payer: The secondary payer on the claim.
- Tertiary Count: The number of times the claim has been submitted to the tertiary payer.
- Tertiary Payer: The tertiary payer on the claim.
