Sandata Billing Reports

This report shows all claims validation requests that were returned unsuccessfully by the Sandata’s Claims Validation system. The report shows the request including the error message returned.

Use this report to quickly identify claims where matching EVV information was not found. This can assist in identifying visits that require action so they can be resubmitted to the claims validation system.

Use the following fields to limit the report output:

Field	Description
Payer	visits for the selected payer(s)
Program	visits for the selected program(s)
Service	visits for the selected service(s)

Reports are grouped by the following fields. Each change in these fields results in a page break.

Field	Description
Account	the provider agency’s Sandata EVV account number
Provider	the state assigned identifier for the prover (e.g Provider Medicaid ID)

Each column of the report lists:

Columns	Description
Received	the date the claim was received by Sandata Claims Validation
Batch ID	the batch ID number for the claims validation request
Trans ID	the transaction ID number for the claims validation request
Invoice Control NO	the invoice control number for the claims validation request
Line NO	the line number within the invoice
Client ID	the Sandata client ID
Visit Range	the date range for the claim where the visits were reviewed
Payer	the payer for the claim line
Program	the program for the claim line
Service	the service for the claim line
Bill Unit	the billable units for the claim line. This reflects the total billing requested for the date range
Exception	the information returned for the failed claims request
Provider Medicaid ID	the client's Medicaid ID and/or Alternate Medicaid ID If not available, Payer ID. If newborn support is enabled and the client is flagged as a newborn, this field shows an N.
Client Name	the client's name. Blank if unknown.
Units Found	the total billable units for all visits found matching the request criteria
Visits	the number of visits found which were reviewed for the claims request

Sample Report

This report displays all visits within the selected date range and shows the last time each visit was returned to the payer for validation.

Use this report to track the status of visits relative to claims validation. It can be used to review when a particular visit was returned to the adjudicating system.

Use the following fields to limit the report output:

Field	Description
Payer	visits for the selected payer(s)
Program	visits for the selected program(s)
Service	visits for the selected service(s)
Client Medicaid ID	visits for the client's Medicaid ID
Supervisor	visits for the selected supervisor at the provider agency
Visit Status	visits for the selected visit status

Reports are grouped by the following fields. Each change in these fields results in a page break.

Field	Description
Account:	the selected provider
Provider Medicaid ID:	the provider's Medicaid ID and/or Alternate Medicaid ID

Each column of the report displays:

Columns	Description
Payer	the payer for the related visit
Program	the program(s) fir the visit
Service	the service performed for the visit
HCPCS	the HCPCS code used for billing
Client Name	the client name Blank if unknown
Medicaid ID	the client’s Medicaid ID and/or Alternate Medicaid ID If not available, Payer ID. If newborn support is enabled and the client is flagged as a newborn, is shown as “N”.
Visit Date/Start/End	the date, start time and end time of the visit
Group Visit Code	the group visit code associated with the visit, if applicable
Status	the status of the visit
Batch ID	Currently Unavailable
Transaction ID	Currently Unavailable
Visit Verified Date	Currently Unavailable

Sample Report