Clinical Recall Analysis Report Sample

The Clinical Recall Analysis Report provides your practice with clinical information pertaining to your patient base.

Tips:

• To see instructions for running the report shown below, see the Clinical Recall Analysis Report Instructions.

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

   

  Clinical Recall Analysis Report Fields Tip:  To see more information about a field, click the hyperlink for the field name.
  PAT #	Patient account number
  NAME	Patient last name, first name and middle initial
  SEX	Patient's gender
  M/S	Patient martial status
  DOB/AGE	Patient date of birth and age
  ZIP	Patient zip code portion of mailing address
  SVC/PAT INSUR	Insurances associated with the service and the patient
  PR	Provider for patient
  LOC	Location where patient services are performed
  DIAG1	Patient's primary diagnosis
  DIAG2	Patient's secondary diagnosis
  A/A	Patient's assignment of benefits
  SERVICE DATE	Date of service for clinical information
  DOLLARS	Dollar amount of service
  COMMENTS 1,2, 3	Patient comments 1, 2, and 3
  LINE 2
  RS	Referral source code, if applicable
  ATB	ATB category assigned to insurance for service
  DPT	Department where service performed
  PROCEDURE	Procedure performed for patient
  DIAG3	Patient's diagnosis three
  DIAG4	Patient's diagnosis four
  UNITS	Number of units associated with procedure