Denied and Pending Claims

Description:

This report displays a list of denied and pending claims for invoices occurring across a selected date range.

Use:

This report can be used to review claims that have been denied or are still pending and require additional action to be resolved and resubmitted.

Limitations:

N/A

Filters

This report can be filtered by:

Field	Description
Company	The selected company.
Location	The selected location.
Admit Type	The code for the client's admission.
Payor	The selected payor.
Client	Client by name (last name, first name) or Sandata Client ID. When a partial name is entered the report displays results that begin with the entered characters.
Date From	The first date of a selected range of dates.
Date To	The last date of a selected range of dates.

Sorting

This report can be sorted by:

Field	Description
Invoice Date	Sorts the report by invoice date in ascending or descending order.
Client Name	Sorts the report by client name in ascending or descending order. Blank if unknown.

Report Output

Each column of the report displays:

Field	Description
Deny/Pending	Indicates the grouping as being denied or pending.
Invoice	The number displayed on the invoice.
Line Item	The line item displayed on the invoice.
Name	The client's name (last, first). Displays above.
Name	The name of the field staff member who attended the visit (last, first). Displays below.
Chart ID	The client's Chart ID number.
Trans Date	The date of the transaction.
Invoice Date	The date of the invoice.
Amt. Billed	The amount billed on the invoice.
Invoice Status	The status of the invoice.
Amt. Paid	The amount paid on the invoice.
Payor	The client's payor.
Denied/Unpaid Reason	The payment denied/unpaid reason code.
Comments	Additional comments.
Status	The payment's status.
Deny/Pending Total	The total denied and pending cash for the invoice number.
Denied/Pending Report Total	The total denied and pending cash for the entire report.

Sample Report

• SAM Manual.5.log-1524159190.zip40 KB
• SAM Manual.5.log-1524159190.zip40 KB
• SAM Manual.5.log-1524159190.zip40 KB
• SAM Manual.5.log-1524159190.zip40 KB
• SAM Manual.5.log-1524159190.zip40 KB
• SAM Manual.5.log-1524159190.zip40 KB