Description

I22 report shows the charges and payments with respect to referring providers for every service location. The report also displays the total of charges and payments of each service location.

Search Filters for the I22 Report

Field Description
Date Type Select Acct. Date or DOS and provide the date range
Referring Provider To filter the report for a specific referring provider
Service Location To filter the report for a specific service location

Search Screen of I22 Report

Sample I22 report with service location specified as ‘ALL’

Image 2

Select the  icon to download the report as an Excel spreadsheet.