What is the Denied Claims Report?

• Purpose
• Report Detail/Considerations
• Report Definitions
• Finding the Report

Purpose

The Denied Claims Report is a listing Insurance denials and adjustments.

Report Detail/Considerations

• The report can be run for a specific Program or all Programs. Programs appear alphabetically.

• The report can be run for a specific Insurance Carrier or All. When running for All, Insurance will appear alphabetically.

• The report can be run for Claim Status: All or Open. Open is any invoice that has an open balance. All provides all denial and adjustment information for open and closed claims.

Report Definitions

Column Header	Definitions
Patient ID	Patient ID
Short Name	Patient abbreviated name.
Denial/Adj Code	Adjustment or denial code received from insurance.
Invoice Seqnum	Invoice transaction seqnum
TCN	Transaction Control Number received from Insurance.
Service Dates From/Thru	From and Thru date of invoice
Procedure Code	Procedure code
Rate Code	Applicable Rate Code (Institutional Claims only)
Modifier	Modifier if applicable
Invoice Amount	Invoice Amount
Denial/Adj Amount	Denial/Adj amount received from insurance.
Balance	Invoice transaction balance

Finding the Report

You can find this report from the Reports module (print icon) in SMART by selecting Third Party→ Denied Claims →and then the report title itself.