Claim Reports
Claim reports return information based on the selected claimant.
Claim Reports Process
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2
External EOR Worksheet – Reports Explanation of Reimbursement information for claims. Includes provider, service dates, billed charges, discounts, adjustments, adjustment reasons, etc.
3
Specific Audit Charges – Reports excess loss adjustments. Includes provider, service dates, adjustments, and allowed reimbursement percentages and amounts.
4
Specific Cumulative Paid Claims Worksheet – Reports cumulative payment information for claims. Includes provider, service dates, billed charges, discounts, and cumulative paid amount.
5
Specific Reimbursement Audit Worksheet – Reports payment details for claims. Includes provider, service dates, billed charges, discounts, adjustments, adjustment reasons, etc.