Eligibility Referral Reconciliation Report Columns

The following columns are available on the Eligibility Referral Reconciliation report:

Column Name	Description	Data Populates From
Prac Name	Practice Name	Practice associated with the patient's eligibility/referral
Pat Name	Patient Full Name	Patient Information
Per Nbr	Person Number	Patient Information
Insured	Name of Insured	Guarantor Maintenance
Insured Pat Nbr	Patient's HIC/Policy Number	Insurance Maintenance
Rendering	Rendering Provider (Requesting Physician)	Requesting Physician from Inquiry
Payer Name	Payer Name associated with transaction	Insurance Maintenance associated with the transaction
Inq Type	Type of Inquiry (Eligibility, New Referral, or Referral History)	Type of inquiry selected from the pop-up menu used to access an inquiry
SubmitStatus	Status of Inquiry	System-generated based on results of the transaction
Response Status	Response Status	Received from clearinghouse
Rejection Definition	Rejection Definition	Received from clearinghouse
Crt Dt	Create Date	System-generated based on the submission date of the inquiry
Appt Dt	Appointment Date	Appointment Book
Enc Nbr	Encounter Number	Encounter Maintenance
Created By	Created By	System-generated based on the User ID of the user who generated the inquiry
Svr Dt	Server Create Date	The date on which the server was created.
Modified By	Name of the person who last modified the inquiry	System-generated based on the user ID
Loc Name	Location Name	Locations master file
Bill Ind	Billable Indicator	Encounter Maintenance

Filter 1

Create Date: Include inquiries submitted within a date range.
Statuses: Include inquiries by status. Select from Incomplete, Pending, Submit Error, Successful, and Loading Error.
Inquiry Type: Include/exclude inquiries by type. Select from Eligibility, New Referral, Referral History, and Claims Status.
Response Status: Include inquiries by response status. Select from Active, Inactive, and Mixed.

Use columns to filter data on the report. Column filter options include the following:

Use additional filters to filter data on the report. Additional filters include the following:

Use columns to sort and group data on the report. Column sorting options include the following:

Note: Columns that are not available for Group By or Page Break are indicated by 'n/a'.

Use columns to sub-total and total data on the report. Column total options include the following:

Note: Columns that are not available for totals are indicated by 'n/a'.