I22 is a report of the total billed, paid, and the count of procedures for referring provider and service location combination.

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

Possible Outputs of I22 Report

Fields in the Excel Output of I22 Report