Reimbursement List
Generated by the Bulk Data Export system
The order of columns is subject to change. When parsing files, please ensure to use headers rather than positional parsing to ensure you are reading the data correctly.
An export of patient information used primarily for reimbursement purposes. Here is an article on how to use it for billing.
Introduction: The reimbursement export lists all-time completed assessments, whether resulting feedback reports were reviewed or not by the provider and regardless of the session status. It is the customerās responsibility to decide which assessments are claimable via 96127, based on individual payer policies.
Field | Description | Notes | ||
instituteid | Institute Id | |||
instituteShortcode | Institute Shortcode | |||
subjectMrn | Subject Medical Record Number (MRN) | - | ||
subjectFirstName | Subject First Name | - | ||
subjectLastName | Subject Last Name | - | ||
subjectDob | Subject date of birth (DOB) | - | ||
sessionStatus | Session Status | āCompleteā - The report is complete and has been viewed by the provider āFeedback completeā - All invitations by respondents have been completed | ||
appointmentDate | Appointment Date | Appointment date in local time zone | ||
appointmentProvider | Appointment Provider | - | ||
appointmentStatus | Status of the appointment | āBookedā - Appointment is booked and is expected to occur āCanceledā - Appointment has been canceled āFulfilledā - Appointment was completed āArrivedā - Patient has checked in for appointment āProposedā - Appointment has been proposed and is awaiting confirmation āNoshowā - Appointment no-show Note: Available statuses will depend on how your EMR represents data. In some circumstances, EMRs may not update ābookedā to āfulfilledā 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 | āTRUEā the feedback report has been viewed by the provider āFALSEā 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 |