Service Billing Profile Report

This report provides users with a holistic view of all service billing profiles within each organization. 

Generating the Report

Let's review how to create the Service Billing Profile Report! 

• • 1. Navigate to the Reporting section.
    2. Under Configuration Reports, select Service Billing Profile Report.
       
       
    3. Update the filter to instruct the system on which practices to include in the report.
       
    4. Select Run Report.
       
    5. To download the report, select Download.
       
       
    6. To include data from the last 24 hours, select Refresh Data.
       

Viewing the Report

The Service Billing Profile Report provides a table of all service billing profiles created under a specified practice. This table includes the service name, procedure code, rate type, etc. To view an example of this report, click here.

Columns and Definitions

Row Name	Definition
Practice	This is the name of the practice where the billing profile has been referenced.
Service Name	This is the name of the service.
Attendance Calendar	This indicates whether the service requires an authorization plan.
Billing Profile Name	This is the name of the service billing profile.
Claim Form Service Name	This is the name of the service that will be shown on a CMS-1500.
Preferred Claim Type	This is the default claim type (Professional, Institutional, or Private Pay).
Default Claim Payer	This is the default claim payer (Behavioral, Medical, or Home plan).
Revenue Code	This is the default revenue code used for Institutional claims.
Bill-Type Prefix	This is the default bill-type prefix used for Institutional claims.
Institutional Modifier	This is the default modifier used for Institutional claims.
Place of Service	This is the default place of service used in Professional claims.
Professional Service Line	This is the procedure code/CPT used in Professional claims.
Professional Modifier	This is the modifier used in Professional claims.
Allow Partial Units/Zero Units	This indicates whether a service can be recorded on a claim with zero or partial units.
Allow Multiple Services Per Claim	This indicates whether a claim can include more than one service.
Allow Multiple Units Per Date	This indicates whether a claim can include more than one unit of service per date.
Allow Multiple Dates Per Claim	This indicates whether a claim can include more than one date of service per claim.
Allow Multiple Months Per Claim	This indicates whether a claim can include more than one month per claim.
Itemize 837I/837P Claims	This instructs the system to itemize the EDI file of the claim.
HCPCS Unit Measurement Basis	This indicates whether a service will be billed on a per-day basis or per-unit rate.
NDC Code	This displays the National Drug Code.
NDC Units	This displays the number of units administered/billed to the claim.
NDC Unit Type	This displays the type of units administered/billed to the claim (e.g. milliliters).
Rate Code
Is Active	This indicates whether a billing profile is currently active and being used.

Helpful Hints

• The fields allowing Partial or Zero units and any NDC information apply to medication-related services only. 
• The 837 in the itemization fields refers to the colloquial name of an outgoing EDI file.  

• Service Billing Profile Report.xlsx 30 KB