Denials and Adjustment Reason Codes Report

The Denials and Adjustment Reason Codes report show payment adjustments and contractual allowances.

The columns of data include:

Amount

Code

HCPCS

Biller

Current Claim Balance

Patient name

Claim number

Deposit Date

Payer

Claim Status

Description

Policy

Claim Status Reason

DOS

 

To run the report:

  1. On the navigation bar, click Analyticsand then click Reports.

  2. Scroll down the list and click Denials and Adjustment Reason Codes.

  3. Start and End date: Select a starting and ending date for this report.

  4. Denial or Adjustment Type: Choose Contractual Allowances, Denials, and/or Payment Adjustments

  5. Click View Report.

Recommended use

Run daily to spot problems and identify issues that you could have avoided. Look for reoccurring mistakes by billers and problems with specific payers.

Important! The Biller listed in the 'Biller' column coded and submitted the claim. Use that information to train your billers on 'avoidable denials'.