Reimbursement List - Data Export
Reimbursement List
Generated by the Bulk Data Export system
An export of patient information used primarily for reimbursement purposes.
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 customer’s responsibility to decide which assessments are claimable via 96127, based on individual payer policies.
| 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 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 |