Insurance Pends by Procedure Code

With the Insurance Pends by Procedure Code function, you can print a detailed analysis report of procedures that have been pended, sorted by procedure code. Procedures that have subsequently been paid in full or have had further activity such as a payment, adjustment, denial, or a refile are not included in the report.

You can use this report to generate a DMS list. To activate this function, add this report to the DMS Report Integration.

Data Field Information
Prompt Response Req Len
Begin with Procedure Code Type the code you want to begin with or leave the field blank to start with the first code in the table.   8
End with Procedure Code Type the code you want to end with 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 refers to the date the procedures were pended, 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 refers to the date the procedures were pended, not the actual date of service.   10

Sample Report
The information contained in this report includes: account number, guarantor name, date of service, patient's first name, policy number, performing doctor code, procedure code, charge amount, date pended, and the reason for the pend (if a reason was entered).

A summary page prints at the end of the report which reflects, by procedure code, the total number of accounts affected, the total number of procedures pended, and the total dollar amount pended.