Description

I16 Insurance Reimbursement Variance % report is mainly used to determine the underpayments received by the practice by comparing the Allowed amount in the fee schedule and the actual amount paid to the practice. The comparison is done only for those claims that have payments applied in the selected date range.

Significance

I16 report provides patient-wise listing of under payments done by insurances. Only those claims where payment accounting date fall in the given period will be displayed.

All underpaid entries will be red highlighted in the report.

The Allowed Amount is the actual allowed amount entered at the time of posting. If the Allowed Amount entered was ‘0’, then for reporting purposes, the allowed amount will be taken as the difference of Charge and Adjustment amounts.

Search Filters in the I16 report

Field Description
Date Type Select either Accounting Date or DOS
Legal Entity To filter by legal Entity
Provider To filter by provider
Insurance To filter by Payer
CPT Codes To filter by CPT
Show Variance Only Show only those claims having variance non-zero.
Show All Show claims with zero variance as well

Table 1

Sample Search Screen of I16 Report

Sample I16 Report

Image 2

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