Description

Mostly used for institutional billing, the report contains some UB04-specific information and shows the billed and paid amounts. Additionally, the aging in the report shows the responsible entity that owes the balance (patient/insurance).

Search filters for the I15 Report

Field Description
Acct. Date Line Level Accounting Date
DOS Provide Date of Service range
Legal Entity To filter results for a specific legal entity
Provider To filter results for a specific provider
Line Status To show charges in a specific line status
Line Sub Status To show charges in a specific sub status
User User who created the charge. Choose one from the drop-down.
Referral Source Select an appropriate option from the drop-down
Patient You can search with either first name of last name
Case Type Choose an appropriate Case Type from the drop-down
Insurance You can search either for a primary insurance or a secondary
Status Code
Rev. Code starts with To search with revenue codes
Referring Provider To search with referring provider

I15 Search Screen

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Sample I15 Report

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Select the  icon to download the report as an Excel Spreadsheet and  to download the report as PDF.