Description
The report displays the billed charges with patient demographics and insurance details. The report prints one patient per page, with each page being a different patient.
Utility
To view all the records edited/created by a user on the current day, select the user from the user search drop-down and select ‘Today’ as the ‘Last Modified Date’.
Search Filters of the C12 Report
| Field | Description |
| Acct. Date | Line-level Accounting Date |
| DOS | Date of Service Range |
| Last Modified Date | Date when the last edit was done; provide the date range |
| Legal Entity | Billing Entity |
| Provider | To search by the rendering provider |
| Line Status | To filter according to line status of the claim |
| Line Sub status | To filter according to line sub status of the claim |
| User | To filter by the user who last modified the charge |
| Referral Source | To filter by referral sources; choose one from the drop-down |
| CPT | To filter by procedure codes |
| Diagnosis | To filter by Diagnosis codes |
| Patient | To view results of a specific patient |
| Case Type | To view results of a specific case type |
| Place of Service | To filter by POS |
| Service Location | To filter by service location |
| Insurance | To filter by insurances; select primary, secondary and tertiary insurances from the respective drop-downs |
| Referring Provider | If same as rendering provider, select option ‘Same as rendering provider’ else search from the referring provider drop-down |
| Modifier | To search by modifiers |
| Show Over Payments Only | Payments only those payments where the balance is negative |
| Include Void | To include void charges/claims in the search results. |
Search Screen of C12 Report
Sample C12 Report
Possible outputs of C12 Report
PDF output