Description

The report shows the list of claims batched electronically or on paper for the selected date period. For the paper claims, the printed status is indicated on the report, and for the electronically submitted claims, the clearinghouse and payer response status with the response details are shown on the report.

Significance

1. This is very similar to the G4 report. The major difference is that the G1 report displays remarks and reject reasons from payers, clearinghouses, etc., whereas the G4 report shows procedure codes and line status.

2. The G1 report has an offline reporting feature.

Utility

1. If you want to view only the electronic claims or only the paper claims, use the ‘Claim batch type’ filter.

2. Service location and encounter-level provider information are available in the Excel output.

3. The last column, ‘Claim Generated By‘ will show the user who generated the claim.

Search filters for the G1 report

Field Description
Claim Date Provide the claim date range
DOS Provide the DOS range
Patient To filter by a specific patient
Legal Entity To filter results pertaining to a specific legal entity
Provider To filter results for a specific provider
Insurance/Payer ID To filter by insurance
Insurance Level To filter by Insurance level
Claim Batch Type Paper, EDI
Clearinghouse Status To view claims having a specific CH status
Interchange# Unique number of the batch
Claims Receiver To view claims sent to a specific CH
Payer Status To filter results for a specific payer status
Claim# To view report for a single claim
Include COB claims To include Cross over claims in the result
Sort Select Claim#, Insurance or patient Last name to sort the result

Search screen of G1 report

Sample G1 report

Possible Outputs of G1 Report

Excel output Fields in the Excel output of G1 Report

CSV output Fields in CSV file of G1 Report

PDF output