Payments Reference Report shows summary of payment references received from payers.
Payment References Worksheet
The worksheet contains the summary of all payment references submitted by payers in Remittance.Advice transactions.
Data in the worksheet is sorted by:
- Settlement Date, descending;
- Payer ID, ascending;
- Payment Reference, ascending.
The table below describes columns presented on this worksheet.
Column | Description |
---|---|
Payer ID | License number of an insurance company that is the payer of a number of claims grouped by the same payment reference number. |
Payer Name | Name of an insurance company that is the payer of a number of claims grouped by the same payment reference number. |
Settlement Date | Settlement date of the payment. |
Payment Reference | Payment reference number. |
Payment Amount | The sum of all Activity.PaymentAmount across all received Remittance.Advice transactions for the same Settlement Date and Payment Reference. |
Claim Payments Worksheet
Thie worksheet contains payment references for every claim submitted by payers in Remittance.Advice transactions.
Data in the worksheet is sorted by:
- Settlement Date, descending;
- Payer ID, ascending;
- Payment Reference, ascending;
- Claim.ID, ascending.
The table below describes columns presented on this worksheet.
Column | Description |
---|---|
Payer ID | License number of an insurance company that is the payer of a claim. |
Payer Name | Name of an insurance company that is the payer of a claim. |
Claim ID | ID assigned to a claim by a provider. |
Claim ID Payer | ID assigned to a claim by a payer. |
Encounter Start | Encounter start date and time. If a claim has more than one encounter, then this value is taken from the earliest encounter. |
Member ID | Insurance card number of a patient. |
MRN | Patient Medical Record Number assigned by the provider. |
Settlement Date | Settlement date of the payment. |
Payment Reference | Payment reference number. |
Payment Amount | Payment amount for the clai. Calculates as the sum of Activity.PaymentAmount for the respective activities. |
Activity Payments Worksheet
The worksheet contains payment references for every activity submitted by payers in Remittance.Advice transactions.
Data in the worksheet is sorted by:
- Settlement Date, descending;
- Payer ID, ascending;
- Payment Reference, ascending;
- Claim.ID, ascending;
- Activity ID, ascending.
The table below describes columns presented on this worksheet.
Column | Description |
---|---|
Payer ID | License number of an insurance company that is the payer of a claim. |
Payer Name | Name of an insurance company that is the payer of a claim. |
Claim ID | ID assigned to a claim by the provider. |
Claim ID Payer | ID assigned to a claim by the payer. |
Member ID | Insurance card number of patient. |
MRN | Patient Medical Record Number assigned by the provider. |
Activity ID | ID of an activity. |
Auth. Number | Prior authorization number. |
Rx Number | Rx Number. It is taken from an observation with Observation.Code = Prescription No. Column is shown if there is at least one activity with the said observation. |
Fill Counter | Fill Counter. It is taken from an observation with Observation.Code = Refills or Fill Counter. Column is shown if there is at least one activity with the said observation |
Service Date | Date of the provided service. |
Settlement Date | Settlement date of the payment. |
Payment Reference | Payment reference number. |
Payment Amount | Payment amount for an activity. |