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Overview of the Discharge List request
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The Discharge List should be a download sent on a CD or electronically via our FTP site or secure e-mail. . This list should consist of all charge-based Inpatient and Ambulatory Surgery accounts, including any managed care accounts that are percentage of charge contracts. The Discharge List should cover one year through the present. The data elements needed are:
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Patient Name
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Patient Account Number
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Admit Date
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Discharge Date
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Medical Record Number
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Total Billed Charges (including all late charges)
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Financial/Payer Class
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Insurance Plan Code
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Insurance Company Name
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Service Code
Information should be sorted by month, based upon discharge date. Excel format of the list is preferred.
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