Description
An I16 report is one that compares the actual posted with the fee schedule (based on the allowed) and reports the variance.
Significance
1. 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.
Utility
1. All underpaid entries will be red highlighted in the report.
2. 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
Search Screen of I16 Report
Sample I16 Report
Possible Outputs of I16 Report
– Fields in the Excel output of I16 Report
-PDF output.