You use the Financial Claim pages to view payee financial information. The Claim Summary tab provides an overview of the financial claims.
The Claim Summary tab of the Financial Claim Detail page contains the following panels:
| Field | Description |
|---|---|
| (Unlabeled) |
The status or disposition of the claims. Examples: To Be Paid, To Be Denied, Suspended, Financial Transactions |
| # of Claims | The total number of claims with a given status or disposition. |
| Amount |
The amount associated with the claims for claims with a given status or disposition as follows: To Be Paid - The reimbursement amount is indicated. To Be Denied - The submitted charge amount is indicated. Suspended - The submitted charge amount is indicated. Fiscal Pend - The reimbursement amount is indicated. |
| Financial Transactions Fields | |
| (Unlabeled) |
The financial category code of the claims. Examples: Receipts, Recovered, Payout |
| # of Claims | The total number of claims with a given category code. |
| Amount | The total dollar amount for a given category code. |
| Field | Description |
|---|---|
| (Unlabeled) |
The status or disposition of the claims Examples: To Be Paid, To Be Denied, Suspended, Financial Transactions |
| # of Claims | The total number of claims with a given status or disposition. |
| Amount |
The amount associated with the claims for claims with a given status or disposition as follows: To Be Paid - The reimbursement amount is indicated. To Be Denied - The submitted charge amount is indicated. Suspended - The submitted charge amount is indicated. Fiscal Pend - The reimbursement amount is indicated. |
| Financial Transactions Fields | |
| (Unlabeled) |
The financial category code of the claims. Examples: Receipts, Recovered, Payout |
| # of Claims | The total number of claims with a given category code. |
| Amount | The total dollar amount for a given category code. |
| Field | Description |
|---|---|
| (Unlabeled) |
The status or disposition of the claims Examples: To Be Paid, To Be Denied, Suspended, Financial Transactions |
| # of Claims | The total number of claims with a given status or disposition. |
| Amount |
The amount associated with the claims for claims with a given status or disposition as follows: To Be Paid - The reimbursement amount is indicated. To Be Denied - The submitted charge amount is indicated. Suspended - The submitted charge amount is indicated. Fiscal Pend - The reimbursement amount is indicated. |
| Financial Transactions Fields | |
| (Unlabeled) |
The financial category code of the claims. Examples: Receipts, Recovered, Payout |
| # of Claims | The total number of claims with a given category code. |
| Amount | The total dollar amount for a given category code. |
| Field | Description |
|---|---|
| (Unlabeled) |
The status or disposition of the claims Examples: To Be Paid, To Be Denied, Suspended, Financial Transactions |
| # of Claims | The total number of claims with a given status or disposition. |
| Amount |
The amount associated with the claims for claims with a given status or disposition as follows: To Be Paid - The reimbursement amount is indicated. To Be Denied - The submitted charge amount is indicated. Suspended - The submitted charge amount is indicated. Fiscal Pend - The reimbursement amount is indicated. |
| Financial Transactions Fields | |
| (Unlabeled) |
The financial category code of the claims. Examples: Receipts, Recovered, Payout |
| # of Claims | The total number of claims with a given category code. |
| Amount | The total dollar amount for a given category code. |
| Field | Description |
|---|---|
| (Unlabeled) |
The status or disposition of the claims Examples: To Be Paid, To Be Denied, Suspended, Financial Transactions |
| # of Claims | The total number of claims with a given status or disposition. |
| Amount |
The amount associated with the claims for claims with a given status or disposition as follows: To Be Paid - The reimbursement amount is indicated. To Be Denied - The submitted charge amount is indicated. Suspended - The submitted charge amount is indicated. Fiscal Pend - The reimbursement amount is indicated. |
| Financial Transactions Fields | |
| (Unlabeled) |
The financial category code of the claims. Examples: Receipts, Recovered, Payout |
| # of Claims | The total number of claims with a given category code. |
| Amount | The total dollar amount for a given category code. |
| Field | Description |
|---|---|
| RA Number | The remittance advice number. Links to remittance document in the Electronic Document Management System (EDMS). |
| Internal Tracking Number | Uniquely identifies the payment to a payee for a given payment cycle. |
| Paid Amount | The payment amount of the remittance advice. |
| Payment Date | The date that appears on the remittance. |
| Check/EFT Number | The check or electronic funds transfer number associated with the payment. |
Version as of 5/16/14.
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