Prompt | Response | Req | Len |
---|---|---|---|
Begin with Billing Group | Type the code you want to start with or leave the text box blank to start with the first code in the table. | 6 | |
End with Billing Group | Type the code you want to end with or leave the text box blank to end with the last code in the table. | 6 | |
Summary only | If you only want to print a summary, select this check box. If you do NOT select Summary Only, the report will include the individual adjustment codes and amounts. | 1 | |
Month for Report | Type the month you want to generate the report for in the format of MM-YYYY. | 7 | |
Print using Procedure Code List | If you did NOT select the Summary Only check box, you can select to print this report based on a previously defined Procedure Code List. | 20 |