Description

This is a line-level batched claims report. Unlike G1. Claim Details Report which is a claim level and includes the clearinghouse and payer response status, this report does not carry the response information and stops at the claims batching status.

Significance

This report takes in Claim date as the sole search parameter.

This report is very similar to G1 report. G4 displays additional line-level details such as procedure code and the current line status. Also, this report displays “Payment#” and “Last Payment Date” related to a claim.

Search filter for G4 report

Field Description
Claim Date Provide the claim date range

Search Screen for the G4 report

Sample G4 report

Possible Outputs of G4 Report

Fields in the Excel Output of G4 Report

PDF output