Payor Rate Report

Payor Rate Report

Description:

This report displays a listing of all payor billing information.

Use:

This report can be used to quickly review billing rates and codes to ensure accuracy and verify that data is current.

Fields and Columns

Select Parameters

Use the following fields to limit the report output to:

Field

Description

Payor

The selected payor.

Payor Plan

The selected payor plan.

Service

The selected service.

Date From

The first date of a selected range of dates.

Date To

The last date of a selected range of dates.

Report Grouping Tab

Reports are grouped by the following fields. Each change in these fields results in a page break.

Field

Description

Payor

Sorts the report by payor in ascending or descending order.

Plan

Sorts the report by payor plan in ascending or descending order.

Report Output

Each column of the report displays:

Field

Description

Payor Name

Displays the payer name.

Plan Name

Displays the rate plan name.

Service

Displays the service name.

Event

Displays the event code associated with the service.

RevCode

Displays the revenue code.

HCPCS

Displays the HCPCS code.

Misc

 

Modifier

Displays any rate modifiers.

Type

Displays the rate type.

Week Rate

Displays the weekday rate.

Weekend Modifiers

Displays the weekend modifier.

Weekend Rate

Displays the weekend rate.

Contract Type

Displays the contract type.

Contract Amount

Displays the contract amount.

Cap

Displays the amount cap.

Rank

Displays the payer rank.

Effective Date

Displays the effective date of the service.

Sample Report

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