A summary of
standard reports is listed below and includes such analysis as per
claimant cost, per benefit cost, high risk claimants, top providers,
and payments by benefit categories. Patient Advocates is interested
in meeting the reporting needs of employers and is interested in
understanding all reports that will be of use and in what frequency
in order to design a personalized reporting package
Employee
Eligibility Report
- A report of employee and dependent information based on a variety
of selection parameters
Length
of Service Report - A report of employee hire dates, years
of service and medical eligibility dates
Employee/Dependent
DOB Report - A report of employees and/or dependents Attaining
a selected age during a selected time period
Employee/Dependent
Deductible
- A report of employee/dependent deductible totals
Paid
Claims Report & Summary - A detailed report of employee
and dependent claims. It includes the amounts paid by the employee and
the plan and the check payment information when applicable. The claim
information is summarized at the end of the report
Employee
Benefits Paid Report - A report listing employees and dependents
who received benefits during a selected time period in excess of a selected
amount
Employee
Claims Summary - A report summarizing claims history for
employees and dependents based on paid and/or incurred dates during
selected time periods
Diagnosis
Code Summary Report - A report that summarizes paid benefits
by diagnosis code
Procedure
Code Summary Report - A report that summarizes paid benefits
by
procedure code
Provider
Analysis by Group - A summary report showing the total number
and dollar amounts of payments made to providers
Benefit
Utilization Report - A report listing the total claims for
each coverage code by employees and dependents
Hospital
Length of Stay Report - A report, by provider and by diagnosis,
of the cost and length of in-hospital stays and the average cost per
stay for a selected type of coverage
Benefits
Paid by Month Report - A report of claims paid during a
selected range of months
Claims
Lag Report - A report summarizing the length of time between
the incurred and paid dates for claims paid over a 12-month period
Specific
Reimbursement Analysis - A status report of claims at a
selected level of specific reinsurance
Daily
Check Register - A report of each check printing cycle
