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3 rd Party Suspense Report

3 rd Party Suspense Report. County of San Diego. Who should run this report? All programs. When should this report be run?

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3 rd Party Suspense Report

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  1. 3rd Party Suspense Report County of San Diego

  2. Who should run this report? • All programs. • When should this report be run? • This report should be run every month for services with-in 12 months. Typically towards the end of the month, once the mass recalculation has been performed by the MHBU.

  3. This report tells you: • When services are in suspense. Suspense means your services cannot bill until the issues are corrected. • The main reason for the suspense action. Each suspense code is defined at the bottom or on the next page of the report. • The amount of money that the County is not being reimbursed for due to services being in suspense.

  4. How do I run it?

  5. Load your template Click on Load to view the available templates.

  6. Choose the correct template

  7. Tailor to your needs Enter YOUR Unit/SubUnit Select a date range

  8. Sor/Subtotal/Title You can choose to sort the information by any of these fields. Add them to the field on the right and select your priority order by moving them up or down You can rename it as you wish or just print as is.

  9. Print

  10. Your report

  11. The legend to the codes

  12. What do I do now? • Now that you can identify what services are in suspense and what the suspense codes are; • You can refer to the “Correcting Items in Suspense” sheet that has been provided. (it can also be found in the updated Financial Billing Manual at the Optum Website) • The majority of the suspense reasons you can fix yourself if you have questions or can not fix, you may need to contact either Optum, MHBU, QI Matters or MHMIS.

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