Denials by Insurance Denial Reason

With the Denials by Insurance Denial Reason function, you can print a detailed analysis report, sorted by insurance denial reason, of procedures that have been denied. Procedures that have subsequently been paid in full or have had further activity from the same Carrier as the Denial, such as refiles, payments or adjustments, are not included in the report. The insurance denial reason is not a required field when denying a charge, so this report reflects only those denied charges where an Insurance Denial Code was attached to the denial.



Data Field Information
Prompt Response Req Len
Begin with Reason Type the code you want to begin with, click the magnifying glass to search the table or leave the field blank to start with the first code in the table.   8
End with Reason Type the code you want to end with, click the magnifying glass to search the table or leave the field blank to end with the last code in the table.   8
Begin with Date Type the date you want the report to start with or click the calendar icon to select a date. This date is referring to the date the procedures were denied, not the actual date of service.   10
End with Date Type the date you want the report to end with or click the calendar icon to select a date. This date is referring to the date the procedures were denied, not the actual date of service.   10

You can also print this report to Word by selecting the Microsoft Word via MyReports option or to Excel by selecting the Microsoft Excel via MyReports in the Printers dialog box and then retrieve the report from MyReports. For additional information about the available printing options, see Printing in CGM webPRACTICE and MyReports.

Sample Report
This report includes: the account number; guarantor name/Patient Name; date of service; performing doctor code; procedure code; charge amount; denied amount; date the denial was posted to the account; the insurance carrier for the denial; the practice denial reason and the description of the last activity on the account (L)..

A summary page prints at the end of the report which reflects, by insurance denial reason, the total number of accounts affected, the total number of procedures denied, and the total dollar amount denied.