Specific Claims Multiple Year Claimants

Select the desired sorting option by checking the corresponding box. The sample shows the report sorted by policyholder.

Effective

Policy effective date.

Policyholder

Policy holder name.

Claimant

Who filed the claim.

Underwriter

Who is underwriting the policy.

Diagnosis

Patient diagnosis.

Total billed

Total billed to the claimant.

TPA paid

Amount paid by the third party administrator.

Allowed

Allowed amount.

Spec/Laser Ded Applied

Amount of specific lasered deductible applied toward the claim.

S/F Ded Applied

Deductible applied to split funding.

Pended

Claim amount pended.

Denied

Claim amount denied.

Reimbursed

Allowed amount reimbursed.

Lasered (Y/N)

Whether or not the claimant is lasered.

Nurse Recom'd

Nurse recommended. Deductible recommended from the ESL Underwriting module.

Actual Ded

Actual deductible amount.