The Outstanding Predetermination Report displays all outstanding predeterminations as specified by the report filters.

Filter Options

Providers: Filters the report by the patient provider associated to the predetermination.
Offices: Filters the report by the office provider associated to the predetermination.
Insurances: Filters the report by the Insurance associated to the predetermination.
Date Updated Start/End Date: Filters the report by the date range in which the predetermination was updated.
Claims to Include: This menu filters the report by Paper, Electronic, or Both types of claims.
Plan Type: Filters the report by Plan Type.
Threshold Claim Type: This menu filters the report by Warning Claims, Past Timely Filing, Warning and Past Timely Filing, or All Types of Threshold Claim Types.

Results Columns

Patient #: The patient number of the patient with the outstanding predetermination
Patient Last, First: The first and last name of the patient with the outstanding predetermination
Birthday: The birthday of the patient with the outstanding predetermination
Subscriber: The Subscriber Number of the outstanding predetermination
Pr/Of: The provider and office of the outstanding predetermination
Insurance Company: The Insurance Company of the patient with the outstanding predetermination
Plan Type: The plan type of the patient with the outstanding predetermination
Total Amount: The total amount of the outstanding predetermination
Date Updated: The most recent date which the outstanding predetermination was updated
First Procedure Date: The first procedure date associated to the outstanding predetermination
Days Past Claim Created: The number of days that have passed since the claim was first created
Days Until Overdue: The number of days until the claim is overdue
Type: The type of claim (paper or eClaim)
Timely Filing Limit: The timely filing limit associated to the claim based on the Insurance Reference.