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The Diagnosis Variance Report will list billed insurance claims where diagnosis information differs between Insurance and Medical Records. Insurance diagnosis information pulls from within the Ins Diag/Proc option or the Grouper when the Insurance and Insurance Admitting radio buttons are selected. Medical Records diagnosis information pulls from within the Ins Diag/Proc option or the Grouper when the Diagnosis and Admitting Diagnosis radio buttons are selected. If the admitting and other diagnoses loaded on the account differ in these two areas the account will pull to the report.

 

See Insurance Diagnoses for more information.

 

 

Diagnosis Variance Report

 

 

 

Listed below is an explanation of each column.

 

•Account Number: Pulls from the Registration and ADT screen

 

•Patient Name: Pulls from the Patient tab on the Registration and ADT screen

 

•Fin. Class (Financial Class): Pulls from Policy Information

 

•Set:This field represents the sequence number of a particular financial class on a patient account. If there are multiple claims with the same financial class on the account, the system will assign a set number of 001, 002, etc.

 

•Billed Date: Pulls the billed date of the claim

 

•Total Charges: The total amount of charges pulls from Account Detail

 

•Diagnosis Grouper: Pulls diagnosis codes that are listed when the Diagnosis and Admitting Diagnosis radio buttons are selected from within the Ins Diag/Proc option on the Grouper

 

•Diagnosis Insurance: Pulls diagnosis codes that are listed when the Insurance and Insurance Admitting radio buttons are selected from within the Ins Diag/Proc option on the Grouper