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Data Export - Reimbursement List

Reimbursement List

Generated by the Bulk Data Export system

An export of patient information used primarily for reimbursement purposes. Here is an article on how to use it for billing.

Introduction: 

Field

Description

Notes

subjectMrn

Subject Medical Record Number (MRN)

-

subjectFirstName

Subject First Name

-

subjectLastName

Subject Last Name

-

subjectDob

Subject date of birth (DOB)

-

sessionStatus

Session Status

“Complete” - The report is complete and has been viewed by the provider

“Feedback complete” - All invitations by respondents have been completed

appointmentDate

Appointment Date

Appointment date in local time zone

appointmentProvider

Appointment Provider

-

appointmentStatus

Status of the appointment

“Booked” - Appointment is booked and is expected to occur

“Canceled” - Appointment has been canceled

“Fulfilled” - Appointment was completed

“Arrived” - Patient has checked in for appointment

“Proposed” - Appointment has been proposed and is awaiting confirmation

“Noshow” - Appointment no-show

Note: Available statuses will depend on how your EMR represents data. In some circumstances, EMRs may not update ‘booked’ to ‘fulfilled’ even in the case of completed appointments.

begunDate

Begun Date

Datestamp when assessment was begun by the respondent (in local time zone)

completionDate

Completion Date

Datestamp when assessment was completed by the respondent (in local time zone)

reportViewed

“TRUE” the feedback report has been viewed by the provider

“FALSE” the feedback report has not been viewed by the provider

numMeasures

Number of Measures

The number of measures completed by the respondent in the assessment

measureNames

Measure Names

The names of individual measures completed by the respondent

totalBillableUnits

Total number of 96127 units 

Total number of 96127 units potentially billable based on number of independently validated measures completed in this assessment 

maxBillableUnitsSuggested

Maximum billable units suggested

Suggested number of units to claim.  Note: This field is currently capped at 5 for indicative purposes since payers reimbursing for 96127 will usually allow a maximum of 4-6 units per 96127 claim. The exact number of units billable depends on each payer policies.

sessionId

Session ID

Encounter ID

subjectMirahId

Subject Mirah ID

ID of the patient or related person

payors

-

When available, list of payers associated with the patient in the EHR