Print Pre-Capitated Write-offs

With the Print Pre-Capitated Write-offs function, you can print a report of the file containing every charge that will automatically be written off when you run the Create Capitated Write-offs function.

Upon accessing this function, you will need to select the date the pre-capitation write-offs were created.

Data Field Information

Prompt	Response	Req	Len
Print Capitation Write-offs for Date	Type the date the write-off file was created or click the calendar icon to select a date.		10

Sample Report
The report includes the account number, guarantor name, accounting date of the write-off adjustment, the adjustment code, the total amount of the write-off adjustment, and the unapplied amount. It will also list the date, procedure code, brief description, doctor, location and amount of the charge(s) to be written off.