ATB Profile Report Sample

The ATB Profile Report reports gross revenues by financial category.

Tips:

• To see instructions for running the report shown below, see the ATB Profile Report Instructions.

• To see descriptions of the report fields, click More.

   

  ATB Profile Report Fields Tip:  To see more information about a field, click the hyperlink for the field name.
  ACCT #	Patient account number
  PATIENT/GUARN	Patient or guarantor last name, first name and middle initial
  CERTIFICATE, GROUP, MEMBER	Patient's policy holder's Certificate number, group number or member number
  TKT #	Ticket number assigned to charge for patient service performed
  D.O.B.	Patient date of birth
  DR	Provider code who performed service for patient
  SVC/PMT DATE	Service date or payment date associated with service performed
  DIAGNOSIS	Diagnosis code for service performed
  PROCEDURE	Procedure code associated with service performed
  CHRGES	Dollar amount charged for service provided
  PYMTS	Dollar amount paid for service provided
  ADJSTS	Dollar amount of adjustments for service provided
  NET	Net dollar amount for service
  BILL DATE	Date service billed to insurance
  TAT
  ESP
  INSUR	Insurance code for insurance company assigned to the patient service