Provider Payment Profile
Report, EIBilling v2.71, June 2020.An update was recently made on the Provider Profile Report
which brings the grid into balance, and updates the values displayed, including
a new row titled ‘Closed’.
Providers may access this report directly via
the ‘Provider Payment Profile’ link on their dashboard; or navigate through the
menus via: Reports > Financial > Provider Payment Profile.
Municipalities
have the menu navigation available, too.
A total in the Pending column will be populated on the Closed row. This total represents the dollar amount of claims that are
in a Closed status but with an outstanding balance. The most common reason for claims in this section are claims
that are not payable due to timely filing guidelines.
Regarding timely filing, consider an example where a claim
with a service date of January 1, 2020 is submitted on May 1, 2020, exceeding
the 90-day timeline. If the claim is not fully paid by Insurance or Medicaid,
any outstanding balance will not be paid through Escrow. As a result, the claim
will move to a Closed status with a remaining balance on the claim.
A user can obtain a detail list of these claims via the
Claim Research Report and clicking the ‘Claims Greater Than 90 Days’ box; also
note the guideline was effective February 11, 2019, so any service date prior
to then will not be impacted by the guideline.
This report contains a ‘Late Claim Adjustment
Column’ which displays amounts of any claims not paid as a result of the Timely
Filing guideline; and may be exported to Excel.
Additional claims not on the Claim Research include claims
that were either overpaid and/or are awaiting a response from Commercial
insurance or Medicaid.
For additional questions, please contact the Customer Service Center at 1-866-315-3747 Monday - Friday, from 7:00 AM to 7:00 PM, ET.
Article ID: 439, Created On: 6/4/2020, Modified: 6/4/2020