Service to Payment (BIL)

This report relays insight into the average number of days it takes to receive payment on a claim from the Point of Service. The average is provided from two valuable perspectives: Payer and Specialty. These contain summary charts and breakdowns by claim form type. This report is linked to a detailed claim-level drilling report.

Business Use

  • Allows hospitals to monitor the overall length of Revenue Cycle performance which directly impacts days in A/R. Hospitals can compare which Specialties and Payers ultimately take the longest to have a payment turnaround.
  • Drill-down functionality is available to identify claim-level detail.

Running the Report

To generate the Service to Payment (BIL) report:

  1. Click Run on the Service to Payment (BIL) report pod.
  2. Select the option of whether or not to include test claims.
  3. Select one or more CIDs from the values displayed.
  4. Use the calendar function to enter a Payment Date (Start).
  5. Use the calendar function to enter a Payment Date (End).
  6. Click Run Query.

Tab Views and Field Descriptions

See the following pages for details on these tabs:

This tab displays the overall average number of service to payment days by claim form type. This information is provided in a table and graphical format.

Field Description
Claim Form Type UB (Institutional) or 1500 (Professional).
Number of Claims Total count of claims for each form type.
Average # of Service to Payment Days Number of days from point of service to payment.

This tab shows, by payer, the average number of days it takes to receive payment on a claim from the point of service. Each claim form type (UB/1500) has a Top 5 chart highlighting this information.

Field Description
Payer Payer name from claim form.
Number of Claims Total count of claims for each payer.
Average # of Days from Service to Payment Number of days from point of service to payment date for given payer.

This tab shows, by specialty, the average number of days it takes to receive payment on a claim from the point of service. Each claim form type (UB/1500) has a Top 5 chart highlighting this information.

Field Description
Specialty Specialty from claim.
Number of Claims Total count of claims for each specialty.
Average # of Service to Payment Days Number of days from point of service to payment.

This tab shows claim detail of service to payments.

Field Description
Form Type UB/1500
Payer Standardized payer name.
Specialty Specialty from claim.
Physician Name Name of physician responsible for treatment of the patient.
Patient Control Number Unique number assigned by the provider.
DRG Code Code for diagnosis related group.
Patient Discharge Date Claim through date on claim.
Payment Date Date payment was received.
Average # of Service to Payment Days Number of days from point of service to payment.