$1,120,458.69
7710
158 Days
211 Days
| 0-7 days old | 8-14 days old | 15-21 days old | 22+ days old |
Items |
Claims |
Billed |
Balance |
Paid% |
|---|---|---|---|---|
| 18 - Exact duplicate claim/service | 76 | $10,892.81 | $10,892.81 | 0.0% |
| 204 - Service/equipment/drug is not covered under patient’s current benefit plan | 65 | $10,405.65 | $10,405.65 | 0.0% |
| 97 - Benefit already adjusted in another service | 60 | $8,810.20 | $8,810.20 | 0.0% |
| 23 - The impact of prior payer(s) adjudication including payments | 40 | $7,963.43 | $7,963.43 | 0.0% |
| 109 - claim/service not covered by this payor | 34 | $5,645.45 | $5,645.45 | 0.0% |
| 31 - patient cannot be identified as our insured | 21 | $4,865.44 | $4,865.44 | 0.0% |
| 96 - Non-covered charge(s). At least one Remark Code must be provided | 64 | $4,655.36 | $4,655.36 | 0.0% |
| 22 - this care may be covered by another payer per | 26 | $4,491.06 | $4,491.06 | 0.0% |
| 140 - Patient/insured health identification number and name do not match | 31 | $3,680.25 | $3,680.25 | 0.0% |
| 3 Co-payment Amount | 31 | $3,546.26 | $3,546.26 | 0.0% |
| No Response | 7256 | $1,131,077.98 | $1,054,859.40 | 6.7% |
| 95 Benefits adjusted. Plan procedures not followed. | 1 | $321.90 | $321.90 | 0.0% |
| B5 Coverage/program guidelines were not met | 5 | $321.48 | $321.48 | 0.0% |