Payment Method (REM)

Payment Method (REM) shows the rate at which Payers are reimbursing providers through Electronic Funds Transfer (EFT) vs. Paper Checks. For each Payer, the report will provide overall payment metrics, in addition to a breakdown of EFT and Paper Check volumes and comparative rates. Detailed report dives into paper check payments.

Business Use

  • This report allows hospitals to distinguish between payer reimbursement methods and understand which payers are remitting payment to providers through more cost-efficient payment methods.
  • Drill-down links are provided to give insight into payments reimbursed through the paper check method.

Running the Report

To generate the Payment Method (REM) report:

  1. Click Run on the Payment Method (REM) 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 highlights all payments coming in. The table displayed is divided into three groups: Overall payments, EFT payments, and paper payments. The report uses these groups to calculate the rate at which payments are transmitted through EFT and Paper.

Field Description
Payer Name of payer designated on the claim.
Total Number of Payments Count of all payments indicated payer has sent.
Total Payment Amount Total dollar amount of all payments received from indicated payer.
Total Number of EFT Payments Count of all payments indicated payer has sent through EFT.
EFT Payment Amount Total value of all payments received through EFT from indicated payer.
% of EFT Payments Total Number of EFT Payments/Total Number of Payments.
% of EFT Payment Amount EFT Payment Amount/Total Payment Amount.
Total Number of Paper Payments Count of all payments indicated payer has sent through paper checks.
Paper Payment Amount Total value of all payments received through paper checks from indicated payer.
% of Paper Payments Total Number of Paper Payments/Total Number of Payments.
% of Paper Payment Amount Paper Payment Amount/Total Payment Amount.

This tab provides claim-level detail for paper checks received. By payment number, view all claims contained within the paper check received and the charge amount reimbursed.

Field Description
Payer Name of payer designated on the claim.
Payment Number Payment number from matched remittance.
Patient Control Number Unique number assigned by the facility or the patient contained within payment.
Date Sent Date payment was sent by payer.
Payment Amount Total value of payment made by payer.
Charge Amount Claim Amount – MSP Amount (MSP Amount reflects payment by a previous payer and will only be non-zero on a Secondary or Tertiary claim).
% of Charge Amount Payment Amount/Charge Amount.