Claims Analysis Report

The Claims Analysis Report produces a report of the "output" counts, amounts and percentages of claims filed for a given time period. The report will list the claims that meet the criteria entered by the user.

The Claims Analysis Report request form is a tabbed dialog that consists of a General tab, a Sorting tab, and a Selection tab.

Task Name

Task Name displayed in the Task Viewer

Min Level

The minimum claim level to qualify for inclusion on the report.

Allowable values are:

•

Submitted

•	Re-Submitted

Min Days

Minimum days from the selected Minimum Claim Level for inclusion on the report.

Max Days

Maximum days from the selected Minimum Claim Level for inclusion on the report.

Claim Level

The insurance level to qualify for inclusion on the report.

Allowable values are:

•	(Blank) All Levels

•

Level 1

•

Level 2

•

Level 3

Cube Data

Indicates if report results should be output to a data cube.

Generate Standard Report

Indicates if report results should be output to a formatted report.

Run Now

Indicates in the report should be run immediately.

Schedule

Indicates that the report should be scheduled to run at a future time.

Schedule Task

Invokes the Task Schedule Wizard to guide the user through setting the report run date(s) and time(s)

TIP: When running the Claims Analysis Report the default sort on the Sorting tab is Plan. The report lists the Count, Amount and Percentages of claims into two categories - Original Claims and Refiled Claims. These are broken down further by Primary claims and Non-Primary claims. The Output column shows if the claims were filed Electronic, Paper or were Medigap claims.

The Sorting tab consists of two lists. The first list is comprised of the available sort fields for the report and the second list is comprised of the fields that have been selected as sort fields. The fields in the second list may be sequenced in any order. The report will sort the data into the sequence defined and perform a "break" on the sort field as well.

Right-Arrow Button	Click on item to be selected in the left-hand list and press the right-arrow button.
Drag-and-Drop	Click on the item to be selected in the left-hand list and while holding the mouse button down, "drag" the item to the right-hand list and release the mouse button.
Double-Click	Double-click on the item to be selected in the left-hand list.

Left-Arrow Button	Click on item to be de-selected in the right-hand list and press the left-arrow button.
Drag-and-Drop	Click on the item to be de-selected in the right-hand list and while holding the mouse button down, "drag" the item to the left-hand list and release the mouse button.
Double-Click	Double-click on the item to be de-selected in the right-hand list.

Frequently when a report is run, you only wish to see data meeting certain criteria. The Selection tab consists of a list of fields they you may use to include or exclude specific data values from the report. For example, you may wish to run a report for just a certain physician or excluding a certain location.

By clicking on the checklist for the appropriate field (physicians, facilities, etc.) you may then select to include or exclude certain values from the respective tables. The limit to the number of specific values you can select is limited to your ability (or willingness) to enter them. While there is a theoretical limit to the number of selections you can make, you will run out of patience before MedSuite runs out of room to save them. Muli-Selections work with standard Windows keyboard functionality. CTRL+Click to select one at a time, SHIFT+Click to select a range of maintenance files.