View the Mother and Baby Information

The Mother and Baby Information page allows you to view the details of a baby’s account that are associated with a mother’s account. This page is only available in the following scenarios:

  • The baby’s charges were not sent on a UB
  • The baby’s account has not been repriced
  • There are multiple baby accounts associated with the mother’s account

Note: If the baby’s information was sent without a UB, this page displays the baby’s account number, but does not display detailed charge information and does not provide a link to the Patient Account Audit page to view the baby’s account. You are also unable to search for this account number in Contract Manager to review the baby’s account information. If your facility elects to display the mother’s charges and the baby’s charges together on the same page, you can review the baby’s charges in the Detail Line Item Charges page. For more information about this page, refer to View Detail Line Item Charges.

  1. Access the Patient Account Audit page.
    1. If you know the account number:
      • Select Go To > Account Research > By Account Number. The Account Research by Account Number page opens.
      • Type the account number and click Display Account. The Patient Account Audit page opens.
    2. If you do not know the account number:
      • Select Go To > Account Research > from Worklist. The Account Research from Worklist page opens.
      • From the Task list, select Create Worklist.
      • Specify other selection criteria and click Display Accounts. The Account Worklist page opens. For more information about search criteria, refer to Specify Account Worklist Criteria.
      • Click the account number you want to review in the Account Number column. The Patient Account Audit page opens.

        Note: PEM claims are not included in worklist results.

    3. Click View Baby’s Information at the top of the page. The Mother and Baby Information page opens.
      • This link only displays if your facility associates mother and baby accounts together and you are viewing a mother’s account or baby’s account.
      • If the baby’s charges were sent on a UB and have been successfully repriced, clicking this link displays the Patient Account Audit page for the baby’s account. For more information, refer to View the Patient Account Audit Page .
  2. Review the baby’s account information.
  3. To view the baby’s account in the Patient Account Audit page, click the link in the Baby’s Account Number column.
    • The account number in this column is not a link if the baby’s charges were not submitted on a UB.
    • If there are multiple accounts with the same account number, the Account Research by Account Number or Claim Number page opens and allows you to select the account you want to review. For more information, refer to View Account Research by Account or Claim Number Results.

The following table describes each of the fields on the Mother and Baby Information page. The fields are listed in alphabetical order.

Field

Description

No.

Sequential reference number of the line item. The line number is a link that returns you to the Patient Account Audit page.

Mother’s Account Number

Patient account number for the mother’s account.

Baby’s Account Number

Patient account number the baby’s account. If the baby’s charges were sent on a UB, the account number in this column is a link that allows you to view the details of that account.

Payor Code

Payor code associated with the product

Product

Name of the insurance product.

Service To

Last date of service rendered to the patient.

Billed Charges

Total billed charges for the product.

Expected Payment

The calculated reimbursement based on the predefined contract terms and conditions and service type definitions in the system and the repriced claims data

Expected Discount

Billed Charges minus non-covered charges, minus Total Expected Reimbursement

Actual Payment

The total insurance and patient payments posted to the accounts, as defined in the data.

Actual Discount

Total insurance adjustments for all accounts; Explanation of Benefits (EOB) write-off

Discount Variance

Expected Discount minus the Actual Discount