HIPAA Accelerator Guide

HIPAA Accelerator Guide

Payers Tab

Payers Tab

This tab contains the following panels:
  • Total Monetary Amount of Claims Sent to Payer
    . This panel displays the top payers to which claims with the highest total monetary amount were sent for the selected timeframe.
  • Total Claims Sent to Payer
    . This panel displays the top payers to which the highest number of claims was sent for the selected timeframe. Use this panel to analyze payer activity or to identify potential bottlenecks.
  • Total Monetary Amount of Payments Received from Payer (835)
    . This panel displays the top payers from which payments with the highest total monetary amount were received for the selected timeframe.
  • Total Payments Received from Payer (835)
    . This panel displays the top payers from which the highest number of payments was received during the selected timeframe. Use this panel to analyze payer activity or identify potential bottlenecks.
  • Overdue 999 by Payer (After Timed Out)
    . This panel displays the top payers with the highest number of events waiting for the payer's 999 ACK for the selected timeframe and the selected event type. 'After Timed Out' indicates that the timeframe defined by the provider for receiving ACK has passed. Use this panel to identify potential bottlenecks or other issues that might require further attention.
    The same partner can potentially appear in the chart twice, each time for data on a different event type - 277, 835. The chart tooltip shows the event type.
    By default, the chart shows results by partner and event type. A partner may appear in the chart twice, each time for data on a different event type (277CA (GS), 835 (GS)). The tooltip shows the event type.
  • Overdue 999 by Payer by Event Type (After Timed Out)
    . This panel displays the top event types with the highest number of events waiting for 999 ACK from payers for the selected timeframe. 'After Timed Out' indicates that the timeframe defined by the provider for receiving ACK has passed. Use this panel to identify potential bottlenecks or other issues that might require further attention.
  • Total Sent Claims by Status
    . This panel displays the claims by final and non-final status that were sent for the selected timeframe. Use this panel to analyze payer activity or to identify potential bottlenecks.
  • Total Sent Claims Monetary Amount by Status
    . This panel displays the total monetary amount by status, for claims sent during the selected time frame. Use this panel to analyze payer activity or to identify potential bottlenecks.

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