Filter: Start Date, End Date
Header: Title, Date report was run
First Section:
Summary of all charges created in the reporting period. Summary of all payments and adjustments applied to charges during the reporting period. Column data: Claim Number, Patient Name, Type (Service or Payment), Date (DOS or Payment), Service, Amount
*Bold lines are charges that have payments applied to them in the reporting period but the charge was created outside of the reporting period. Theses bold charge(s) will not be applied towards total procedure count or total procedure value.
Payment Tool Entries
Summary of all payments accepted using the ‘Accept Payments Tool’. Column data: Patient Name, Payment Date, Payment Type, Check No, Notes, Amount Paid, Amount Applied.
Refund Payments
Summary of all refunds given in the reporting period. Column data: Patient Name, Refund Date, Payment Type, Check No, Notes, Amount, Total
Footer:
Column 1:
Total Patients: Unique patients that appear on this report.
Column 2:
Co-payments , Number of Co-pays: Counts and total all copays taken with copay tool OR set as copay using payment tool from the Manage Payment -> More Info screen.
Total Take Backs
Provider Reductions
Account Credit Applied
Column3:
Total Units/Charges
Cash
Checks
Check Insurance
Direct Deposit
Insurance Credit Card
Discover
AMEX
Visa
Mastercard
Total Payments
Total Adjustments Minus
Total Adjustments Plus
Collection
Total Adjustments
Payments + Adjustments
Total Refunds