New standard report: Payer Downcoded Claims
A new standard report has been released as of 2/5/2025 titled Payer Downcoded Claims
This report identifies potential down-coding situations where the 835 remittance data received from the insurance payer indicates the paid CPT code differs from the originally billed CPT code.
Note: This comparison only works for accounts where an actual 835 remittance was received. This report logic currently does not work for any manually posted payments from paper remittances. Enrolling with as many payer's for digital 835 remittances as possible will increase this reports reach to analyze.
When reviewing this report the billedevm column shows the actual code you billed out on your claim to the insurance carrier. The payerpaidevm column shows the actual code the payer sent back on the remittance advice (within the 835 itself).
Additional Resources
GoRev Support Team
If you have any additional questions or concerns regarding this tutorial, please contact the GoRev Support Team by phone at (317) 794-3900 or by email at ask@gorev.com
Note: Always submit an IT Support Ticket detailing the problem that you are experiencing with this portion of GoRev, if possible, as this will give GoRev Support Agents access to information that will help expedite the resolution of your issue. If you are unsure how to submit an IT Support Ticket in GoRev, please see the GoRev IT Support Ticket Creation Tutorial for assistance