Account Number Search Results

The Search Results page lists the claims for the account number you entered in the Account Number search box on the header for any page in the application. It includes the claims for all of the facilities to which you have access.

  1. Enter the account or invoice number in the Account Number search box.
  2. Click the search (magnifying glass) icon to display a list of claims for the account/invoice.

Some of the columns include links to more information about each claim in the account or invoice.

  • Click the Claim Type link to view the claim representation.
  • Click the Patient Number link to open the Patient Account Audit page.

    Note: If you select a result for an account from a different facility, your facility selection automatically changes to that facility.

  • Click the Message Code link to open the message code help topic.
  • Click the Billed Charges link to open Detail Line Item Charges page.
  • Click the Payor Code link to open the Payor Mapping by Payor Code page.

The following table describes each of the fields on the Search Results page. The fields are listed in alphabetical order.

Field

Description

Facility Name

The name of the facility where the account is located.

Claim Type

The claim type. Click the link to view the claim representation.

Patient Number

The patient account number (for UB-04 claims) or patient invoice number (for CMS-1500 claims). Click the link to open the Patient Account Audit page.

Reprice Type

Indicates the reason the claim was repriced separately from other claims for this account. This column also helps to distinguish between multiple claims on an account.

  • MCR Part-B Vaccine – Identified by bill type and revenue code as a Medicare Part-B vaccine claim.
  • 1500 Claim (Hospital-based)– Identified by claim type as a CMS-1500 claim and associated to a UB by account number.
  • MCR Part-B – Identified by product, bill type, occurrence span code, and length of stay as a Medicare Part-B one day stay claim.
  • Recurring Outpatient (OP) – Identified by patient type and account number as a recurring outpatient claim when more than one claim exists.
  • Standard – Any claim that does not fit one of the reprice types described above.

Note: If a claim has not been repriced, “Not Repriced” displays in the Reprice Type field or column.

Admit Date

The date of admission for the account.

Service From

The first date of service rendered to the patient.

Service To

The last date service rendered to the patient.

Patient Type

The patient type:

  • I = Inpatient
  • O = Outpatient
  • Professional

Message Code

The message code indicating the status of the claim.

  • Click the link to view the message code help topic.

Bill Type

The three-digit bill assigned to the claim.

  • First Digit = Type of facility
  • Second Digit = Type of Care / Classification
  • Third Digit = Frequency

Note: Click the link to view the View the Billing Type Definition. Refer to Bill Types for more information.

Billed Charges

The total charges incurred for the claim or set of claims that have been repriced. Negative values in this field display in parentheses (). Click the link to view the billed charges details.

Payor Code

The payor code associated with the product. Click the link to open the Payor Code Mapping page.