Visit Claims Verification

Description:

This report displays all visits within the selected date range and shows the last time each visit was returned to the payer for validation.

Use:

Use this report to track the status of visits relative to claims validation. It can be used to review when a particular visit was returned to the adjudicating system.

Fields and Columns:

Parameters

Use the following fields to limit the report output to:

Field	Description
Payer	visits for the selected payer(s)
Program	visits for the selected program(s)
Service	visits for the selected service(s)
Client Medicaid ID	visits for the client's Medicaid ID
Supervisor	visits for the selected supervisor at the provider agency
Visit Status	visits for the selected visit status

Report Grouping Tab

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

Field	Description
Account:	the selected provider
Provider Medicaid ID:	the provider's Medicaid ID and/or Alternate Medicaid ID

Report Output

Each column of the report displays:

Columns	Description
Payer	the payer for the related visit
Program	the program(s) fir the visit
Service	the service performed for the visit
HCPCS	the HCPCS code used for billing
Client Name	the client name Blank if unknown
Medicaid ID	the client’s Medicaid ID and/or Alternate Medicaid ID If not available, Payer ID. If newborn support is enabled and the client is flagged as a newborn, is shown as “N”.
Visit Date/Start/End	the date, start time and end time of the visit
Group Visit Code	the group visit code associated with the visit, if applicable
Status	the status of the visit
Batch ID	Currently Unavailable
Transaction ID	Currently Unavailable
Visit Verified Date	Currently Unavailable

Sample Report

Visit Claims Verification Status

• AGG Manual.5.log-269538.zip7 KB