Related: for GL entries covering encounter-based revenue and payments, see the Revenue Activity Report; for tying insurance deposits to the bank, see the Bank Deposit Reconciliation Report; this report is also used during Month-End Close.
Summary
Provider adjustments are check-level adjustments a payer applies directly on a remittance (835 PLB segment) — for example an overpayment recovery, a payer takeback, or another correction that isn’t tied to a specific claim line. Because most provider adjustments aren’t linked to an encounter, they don’t appear in encounter-based reports like the Revenue Activity Report or Detailed Charges Report. The Provider Adjustments Report surfaces this activity separately so it can be reviewed and reconciled on its own. Each row groups all provider adjustments posted during the selected period by payer and reason code.Key Use Cases
- Surface provider-level (check-level) adjustments that fall outside normal encounter-based revenue reporting.
- Reconcile total provider adjustments against cash actually deposited — tie out against the Bank Deposit Reconciliation Report for the same period.
- Record and account for miscellaneous revenue during month-end close (see Month-End Close).
- Distinguish adjustments that happened to be auto-matched to an encounter from true check-level-only adjustments with no encounter tie.
Filters Supported
- Date Range: Date Posted
- Include Encounter-Linked Adjustments toggle — when off, only adjustments with no encounter link are included (this is the version that ties out to the Bank Deposit Reconciliation Report); when on, all provider adjustments in the period are included regardless of encounter link