Description

I23 report provides service location-based financials and it also shows the referring provider. Financial Details include the patient info, charge incurred, expected amount and the amount paid, insurance, etc.

Table 1 shows the search filters for the I23 report.

Field Description
Date Type Select either Acct. Date or DOS
PR.INS/Payer ID Primary Insurance name or its payer ID
Other External ID Provide ‘Other External ID’ provided in the Insurance master
Service Location To view results of a specific service location
Legal Entity Billing Entity
Referring Provider Select either ‘Same as rendering provider’ or choose from ‘Outside referral’.
Provider Rendering provider

Table 1

A sample search screen is provided in Image 1.

Image 1

Image 2 is a sample I23 report showing the encounter details related to the Service Location ‘Home123456’.

Image 2

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