Financial Analytics (PA): Insurance A/R Summary & Worklist

 

Version 21.3
Path: Tools tab > Reporting button > Financial Analytics > Insurance A/R Summary

When to Use this Report

Use this dashboard to view outstanding Insurance A/R and work the outstanding claims from the worklist. You can see your providers and payers with the highest outstanding A/R. This dashboard looks to only outstanding A/R with an insurance company and excludes claims with a Self-Pay payer.

About Insurance A/R Summary & Worklist

Insurance A/R Summary Filters

Number

Section Description
1
Payer Use this filter to select the payer(s) you wish to search by.
2
Rendering Provider Use this filter to select a provider(s) who performed the service with an outstanding balance.
3
Location Use this filter to select the Location(s) of the patients with outstanding balances.
4
Bucket Use this filter to select the A/R Aging bucket you wish to view. 

Insurance A/R Summary Overview

Insurance Balance by Aging Bucket
Type of report: Bar Graph
Displays: This shows the outstanding Insurance A/R by age (0-30 days, 31-60, 61-90, 90-120, 120+).
Details:
• Balance: The dollar amount of the combined insurance balances.
• Bucket: The A/R Aging bucket that the insurance balance falls into.
Balance by Rendering Provider
Type of report: Bar Graph
Displays: A quick look at which provider has the most outstanding Insurance A/R and their claim count.
Details:
• Balance: The dollar amount of the insurance balance.
• Rendering Provider: The name of the rendering provider for that insurance balance.

• Total Claims: The number of total claims for each rendering provider.

Balance by Payer Balance by CPT Category
Type of report: Bar-graph
Displays: A look at the top 10 payers with the most outstanding A/R, including data points for Total Claims for each payer.
Type of report: Bar-Graph
Displays: A look at the outstanding Insurance A/R based on CPT Category, including data points for Total Claims for each CPT Category.

Insurance A/R Worklist Filters

Number

Section Description
1
Payer Use this filter to select the payer(s) you wish to search by.
2
Rendering Provider Use this filter to select a provider(s) who performed the service with an outstanding balance.
3
Location Use this filter to select the Location(s) of the patients with outstanding balances.

Insurance A/R Worklist

Insurance A/R Worklist: Patient Details
Type of report: Bar Graph
Displays:  A worklist of all patient claims with outstanding A/R.
Details:
• Filter by Claim number, Patient number, and/or Aging Bucket.
• Summary: Shows the total patient balance based on the filters selected.