VEDA | Reports available

VEDA

What’s available from the Records & Reporting tab

See our guide on the Recording & Reports tab for details on how to generate, view, print, download and delete reports.

The following reports are available to you, depending on your user profile and whether your facility has a subscription to the relevant product.

• Claim Validation Report
• Failed Claim Files by Reason
• Failed Invoice Summary Report
• Failed Invoices by Charge
• HTMLUS Audit
• PPR Specialist List
• Provider Cancelled Claims Report
• Provider Completed Claims Report
• Provider Failed Invoices
• Validation Failure Summary

The report entitled Hellenic Provider Audit Report is a legacy and is no longer in use.

Claim Validation Report

Retrieves a list of invoices submitted on a specific date.

Details returned:

• Insurer ID (short code)
• Invoice number
• Provider number
• Patient’s surname
• Patient’s membership number
• Provider’s patient number
• Invoice total
• Total number of claims submitted
• Total number of claims with validation errors
• Total value of all submitted claims

This file can be viewed or downloaded in a CSV or ASCii format.

Failed Claim Files by Reason

Retrieves a list of billing files within a defined date range that failed to upload.

Details returned:

• Site name(s)
• Date of failure
• Name of failed file(s)
• Failure reason
• Total number of failed files by site
• Overall total of failed files

This file can be downloaded in a CSV or PDF format.

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Failed Invoice Summary Report

Retrieves a list of failed invoices, either for a specific insurer or for all insurers, within a defined date range.

Details returned:

• Site name
• Insurer name
• Date invoice created
• Invoice number
• Provider number
• Provider’s patient number
• Patient first name
• Patient last name
• Invoice net total
• Invoice date
• Episode setting (i.e. day case, outpatient, inpatient etc)
• Number of times the invoice was submitted before successful validation

This file can be downloaded in a CSV format.

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Failed Invoices by Charge

Retrieves a list of failed invoices within a defined date range, either for a specific insurer or for all insurers, detailing the individual charge line that has failed.

Details returned:

• Site name
• Insurer name
• Date invoice created
• Invoice number
• Provider number
• Provider’s patient number
• Patient’s first name
• Patient’s last name
• Invoice number
• Invoice date
• Episode setting (i.e. day case, outpatient, inpatient etc)
• Charge period
• Charge line service code
• Charge item code
• Number of charge items billed
• Provider number for charge line
• Charge line setting (i.e. day case, outpatient, inpatient etc)
• Charge line discount total
• Charge line net total
• Charge line VAT indicator
• Charge line VAT rate
• Charge line gross total (if VAT has been added)
• Error field
• Error that caused the invoice to fail

This file can be downloaded in a CSV format.

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HTMLUS Audit

Retrieves an audit, within a defined date range, of the Membership Enquiry service usage.

Details returned:

• Site name
• Date of enquiry
• Surname and first initial of person making request
• Initial, surname and date of birth of patient
• Insurer name
• Match indicator

This file can be viewed or downloaded in a CSV or ASCii format.

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PPR Specialist List

Retrieves a list of all practitioners linked to your hospital or hospital group for invoicing purposes. Information is taken from PPR profiles if they exist. The same practitioner’s name may be repeated if they’ve more than one specialty and/or sub-specialty.

Details returned:

• Practitioner’s first name
• Practitioner’s last name
• Practitioner’s profession
• Practitioner’s specialty
• Practitioner’s sub-specialty
• Regulatory/professional body name
• Regulatory/professional body reference number
• GMC warning indicator
• Appraisal overdue indicator
• Indemnity end date
• PPR profile indicator
• Aetna recognition status
• Allianz recognition status
• Aviva recognition status
• AXA Health recognition status
• Bupa recognition status
• Bupa Global recognition status
• Cigna recognition status
• Healix Health recognition status
• VitalityHealth recognition status
• WPA recognition status
• Alliance Health Corporate recognition status

This file can be downloaded in a CSV format.

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Provider Cancelled Claims Report

Retrieves a list of cancelled invoices for each insurer by invoice date or date cancelled and the reason for the cancellation within a defined date range. Choosing to run the report by date cancelled may include invoices raised outside the range, so you get a truer picture of the value of invoices cancelled during that time frame.

Details returned:

• Site name
• Insurer name
• Invoice date
• Invoice number
• Patient’s membership number
• Provider’s patient’s ID
• Provider’s patient number
• Patient’s name 
• Invoice value
• Cancellation reason
• Date cancelled
• Sub-total of cancelled invoices for each insurer
• Total of cancelled invoices by site
• Overall total of cancelled invoices

This file can be downloaded in a CSV or PDF format.

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Provider Completed Claims Report

Retrieves a list of invoices for each insurer by invoice date or date completed that have been successfully submitted within a defined date range. Choosing to run the report by date completed may include invoices raised outside the range, so you get a truer picture of the value of invoices successfully submitted during that time frame.

Details returned:

• Site name
• Insurer name
• Invoice date
• Invoice number
• Patient’s membership number
• Provider’s patient’s ID
• Provider’s patient number
• Patient’s full name        
• Invoice value
• Date submitted
• Date of last treatment
• Sub-total of submitted invoices for each insurer
• Total of submitted invoices by site
• Overall total of submitted invoices

This file can be downloaded in a CSV or PDF format.

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Provider Failed Invoices

Retrieves a list of failed invoices that exist on the day the report is run, with a high-level failure analysis at the top of the report giving the exact count for each failure field and the reason for failure. You also get a full data analysis view breaking down failure reasons for each invoice.

This report is only available to subscribers of Failed Bills Management Tools. See Financial Management Solutions for more information about this product.

Details returned:

Failure analysis:

• Failure field name
• Failure reason
• Number of times this failure occurred

Data analysis:

• Parent site
• Site name
• Insurer ID (short code)
• Insurer name
• Provider’s patient number
• Patient’s first name
• Patient’s last name
• Date invoice created
• Invoice number
• Invoice date
• Invoice net total
• Bill category
• Number of times the invoice was submitted and failed validation
• Failure field name
• Failure reason
• Failure field value
• Payee provider number
• Payee provider name
• Treating hospital number
• Treating hospital name

This file can be downloaded in a CSV format.

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Validation Failure Summary

Retrieves an overview of invoices by insurer validated the first time within a defined date range. There is also a breakdown of any invoice errors.

Details returned:

• Provider name
• Insurer name
• The percentage of invoices that passed validation the first time
• The average number of days taken for an invoice to pass validation
• Total number of errors by insurer for detailed combination (error field and description)
• Description of error
• Error field relating to description

This file can be downloaded in a CSV format.

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