Denials Report

Denials Report

Overview

The Denials Report provides a detailed view of denied insurance claims, allowing billing staff to identify trends, investigate issues, and take corrective action. This report helps practices monitor and resolve claim denials efficiently by presenting key details such as payer information, client identifiers, claim and service codes, denial reasons, and associated financial data.

By leveraging this report, billing teams can track outstanding insurance balances, review denial codes and remarks, and prioritize follow-up activities. This visibility supports faster resolution, improved cash flow, and reduced delays in reimbursement.

You can export the report in CSV, PDF, or Excel format.

Step 1: Accessing the Denials Report

To access the Denials Report:

  1. Select More from the left sidebar.
  2. Select Reports.
  3. In the Report dropdown, select Denials  Report.




Step 2: Using Report Filters 

By default, the report includes Start Date and End Date filters. The report filters results based on the encounter date

Additional filters are available to refine results:
  1. Payer: Select a payer to generate the report for a specific payer. Leave blank to include all payers.
  2. Client: Select a client to generate the report for a specific client. Leave blank to include all clients.
  3. Reason Code: Select a reason code to generate the report for a specific reason code. Leave blank to include all reason codes.
  4. Insurance Balance Greater Than:  Enter an amount to generate the report for records with an insurance balance greater than the specified value. Only those records will be included in the results.




Step 3: Running the Report 

After selecting the desired filter options, click the Run Report button. The report is then generated and displayed as shown in the screenshot below. A description of each column in the report is provided beneath the screenshot.



When you run or export the report, it includes the following columns:

ERA/Manual Posting
  1. Payer: Displays the name of the insurance payer for which the denial was posted.
  2. Payer ID: Displays the unique identifier of the payer associated with the denial.
  3. Payment Date:  Displays the date the payment was made by the payer.
  4. Posted Date: Displays the date the payment or denial was posted in the system.
  5. Reference #:  Displays the reference number entered when the payment was added.
Claim
  1. Client: Displays the full name of the client associated with the claim.
  2. Member ID:  Displays the client’s insurance member ID or policy number under the primary payer.
  3. ICANotes Claim #:  Displays the claim number generated in ICANotes+ when the claim was submitted to the insurance payer.
  4. Payer Claim #: Displays the claim number provided by the insurance payer.
  5. Claim Date: Displays the most recent date the claim was submitted to the insurance payer.
  6. Claim Status Code:  Displays the code representing the claim’s status at the time of denial posting (e.g., 1 for Primary, 2 for Secondary, 4 for Denial).
  7. Encounter: Displays the date the service was rendered to the client.
  8. Service Code: Displays the service code recorded for the encounter. 
Claim Service Line
  1. Service Location: Displays the site where the service was provided.
  2. Clinician: Displays the name of the principal clinician listed on the encounter note.
  3. Authorization: Displays the authorization number linked to the service code within the note or encounter.
  4. Diagnosis: Displays the diagnosis code(s) recorded in the note or encounter.
  5. Charge Amount: Displays the billed amount for the specific service within the encounter.
  6. Insurance Balance: Remaining balance expected from the insurance payer for the specific service.
  7. Reason Code: Displays the adjustment or denial reason codes used when posting the denial.
  8. Amount: Displays the denial amount associated with the selected reason code(s).
  9. Remarks: Displays the remark code(s) selected when posting the denial, offering additional explanation for the denial.

See Also

Working with Reports - Learn how to navigate reports, assign roles and permissions, and use common reporting functions.
Grant User Access to Reports - Understand the impact of restricted access and how to grant users permission to view reports.

FAQs 

You can find the Frequently Asked Questions (FAQs) on our Knowledge Base page.


Click here for quick access to the FAQs.

Need Help?

For further assistance, contact:
📞 Phone: 443-203-5857
📱 Text: 866-301-0085
📧 Emailticket@icanotes.com
💬 Chathttps://app.icanotes.com



Proprietary Notice Information: This article is provided for informational purposes only, and the information herein is subject to change without notice. While every effort has been made to ensure that the information contained within this article is accurate, ICANotes cannot and does not accept any type of liability for errors in, or omissions arising from the use of this information.







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