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The table below describes the columns presented on this worksheet.
Column | Description | ||
|---|---|---|---|
Encounter Month | Months of the selected year. Claim ID | ||
Initial Claim Submissions | Claimed Amount | Sum of all Activity.Net of the initial claim submissions (without Resubmission). | |
Paid Amount | Sum of all Activity.PaymentAmount of the respective claims that are part of the Claimed Amount calculation. | ||
Rejected Amount | Denied amount of the respective claims that are part of the Claimed Amount calculation. | ||
Unremitted Amount | =Claimed Amount-Paid Amount-Rejected Amount. | ||
Claim Resubmissions | Claimed Amount | Sum of all Activity.Net of the resubmitted claims. | |
Paid Amount | Sum of all Activity.PaymentAmount of the respective resubmitted claims that are part of the resubmitted Claimed Amount calculation. | ||
Unremitted Amount | This is the Claimed Amount of those resubmitted claims that have no Remittance.Advice yet. | ||
Totals | Claimed Amount | Claimed Amount of the claims considering initial claim submission and all resubmissions. | |
Paid Amount | = Initial Claims Paid Amount + Resubmitted Claims Paid Amount. | ||
Unremitted Amount | = Initial Claims Unremitted Amount + Resubmitted Claims Unremitted Amount. |