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Weekly File Submission Report

The Planning Phase
At the MIS User's Group Meeting on August 31, 2004, new reports were presented for review. It was decided that one report with all information would be the way to approach this type of reporting. The one report would have the information by Board, by Provider, by Filename without the difference column so as to not cause any confusion. The number of claims in the file and the number of claims in Diamond were left for the review of Board's and Provider's. It was also decided the report would show all files, included those rejected for whatever reason, and that it would be best if it was a weekly report.

The Current Status
The report has been completed and a complete description is listed below. There will continue to be weekly reports placed on the test web site for the Board's to review. Once a consensus is received that the Board's believe this will be helpful it will be placed on the MACSIS Web Site for all to access. If there are comments, questions or concerns regarding this report, please send an e-mail to Johnna Fraser.

Description of the Report
The two report explanations are listed below. These reports are based on a specified timeframe, which utilizes the date the file was processed. The dates included in the reports are listed at the top of the page of the reports.

Claim Files Submitted to Diamond by Provider by Board by File

Report by Provider (including name and number) by Board (including name and number) by File, the file problem, the process date, number of claims submitted in file, and number of claims in Diamond with that file name.

Column Name

Explanation

Provider Name Provider name
Provider # Provider number
Board Name Board/Consortium name
Board # Board/Consortium number
File Name File name submitted
File Problem Accepted if file was O.K. or problem listed if file was bad
Process Date Date file was processed through overnight
# Claims Submitted in File Number of claims submitted in the file
# Claims in Diamond with this File Name Number of claims that are in Diamond for that Board with that file name attached
Claim Files Submitted to Diamond by Board by Provider by File

Report by Board (including name and number) by Provider (including name and number) by File, the file problem, the process date, number of claims submitted in file, and number of claims in Diamond with that file name.

Column Name Explanation
Board Name Board/Consortium name
Board # Board/Consortium number
Provider Name Provider name
Provider # Provider number
File Name File name submitted
File Problem Accepted if file was O.K. or problem listed if file was bad
Process Date Date file was processed through overnight
# Claims Submitted in File Number of claims submitted in the file
# Claims in Diamond with this File Name Number of claims that are in Diamond for that Board with that file name attached