Payer-Program-Service Listing

Description:

This report shows the payer, program, and service hierarchy for the account.

Use:

Use this report to review the payer, program and service hierarchy as well as the start and end dates for services. The report also displays any modifiers applied to services and whether nor not the service is required by the Cures Act. The report can assist providers in reviewing the payer configuration for the program. It can also help payers review the current communication before communicating with providers.

Fields and Columns:

Parameters

Use the following fields to limit the report output to:

Field	Description
Payer	the selected payer(s)

Report Output

Each column of the report displays:

Columns	Description
Payer	the payer
Program	the program
Service	the service
Provider ID	the state assigned identifier for the provider (e.g Provider Medicaid ID)
Account Name	the account name
Account	the provider agency's Sandata EVV account number
HCPCS	the HCPCS code used for billing
Modifier 1	The first modifier applied to the service
Modifier 2	the second modifier applied to the service
Modifier 3	the third modifier applied to the service
Modifier 4	the fourth modifier applied to the service
Cures Required	an indicator that displays whether or not the service is required by the Cures Act This indicator only displays if the service has been configured for it. All services for a payer program should be assumed to be Cures Act required unless otherwise indicated
Start Date	the start date for the service
End Date	the end date for the service, an end date of 12/31/2999 is used to indicate an ongoing service

Sample Report

Payer-Program-Service Listing - Sample