Payment Solutions Claims Reconciliation Report

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The Payment Solutions Claims Reconciliation Report generates a list of all e-payment transactions that have been made for a selected date range.

Prerequisites

  • Hicaps/Tyro Terminal

  • Hicaps/Tyro link from Dental4Windows

  • Generate Hicaps/Tyro claims from Dental4Windows

Run the Report

  1. Go to Location Management > Reports tab

    1. Open HICAPS Claims Reconciliation Report if using Hicaps

    2. Open Tyro Claims Reconciliation Report if using Tyro

  2. Set the report parameters

    1. Date Range: Select the period to base this report on (date of the claim)

    2. Location: Select the Location or <Any Location> if applicable 

    3. Provider: Select the Provider or <All> if applicable 

    4. Show Inactive Providers as well: Tick to include an Inactive Provider

    5. Fund: Select the fund or <All Funds> if applicable 

  1. Click OK

Report Details

  1. The report is based on the selection in the report parameters.

  2. When the report is run, transactions will only appear in the report if there has been claims made in the selected date range.

  3. If choosing All Providers, the report will show all claims for each individual provider with an overall total at the end of the report.

  4. If choosing All Funds, the report will show each fund with an overall total at the end of the report.
  5. At the end of each health fund there is a subtotal for that fund.

 

Transaction

 

 Type

This shows whether it is claim or Cancellation etc.

 Date / Time

The date and time of transaction

 Response

This shows if it was approved or not

 Status

This shows if it is done or cancelled etc.

 Patient

Patient name and card no

 Ins Memb #

Patients insurance number

 Prv ID

Provider ID No

 Claim

 

 Id

Claim Id no

 Amount

Claim Amount

 Status

This shows if there were any deletions or cancellations

 Payment

 

 Id

Payment Id no

 Amount

Amount paid by health fund

 Date

Date payment made

 Subtotal for 

 

 Claimed

The total amount claimed for the selected period for all health funds

 Paid

The total amount paid for the selected period by all the health funds

 

NOTE: This report will only include claims made through the terminal from D4W. Any receipts created with the Hicaps Manual or Tyro Manual payment methods will not be included in this report.


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