> ## Documentation Index
> Fetch the complete documentation index at: https://docs.athelas.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Provider Adjustments Report

<Note>
  Related: for GL entries covering encounter-based revenue and payments, see the [Revenue Activity Report](/insights_biller/reports/revenue_activity_report); for tying insurance deposits to the bank, see the [Bank Deposit Reconciliation Report](/insights_biller/reports/bank_deposit_reconciliation_report); this report is also used during [Month-End Close](/insights_biller/reports/month_end_close).
</Note>

#### 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](/insights_biller/reports/revenue_activity_report) or [Detailed Charges Report](/insights_biller/reports/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](/insights_biller/reports/bank_deposit_reconciliation_report) for the same period.
* Record and account for miscellaneous revenue during month-end close (see [Month-End Close](/insights_biller/reports/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

#### Data Dictionary

| Column Name                  | Description                                                                                                                                                                            |
| ---------------------------- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| Payer                        | The insurance company on the remittance that posted the adjustment — this is the remittance's payer, not necessarily the insurance entered or billed on the encounter                  |
| Reason Code                  | The payer's adjustment reason code from the remittance                                                                                                                                 |
| Reason Description           | Plain-language label for the reason code (e.g. "Overpayment Recovery")                                                                                                                 |
| Linked to an Encounter       | Whether any adjustment in this Payer + Reason Code group is tied to a specific encounter. Most provider adjustments are not — that's why they're excluded from encounter-based reports |
| Adjustment Count             | Number of distinct provider adjustments included in this row                                                                                                                           |
| Payment Item Count           | Number of distinct posted payment records behind those adjustments (normally one per adjustment)                                                                                       |
| Encounter-Linked Adjustments | Number of adjustments in this row that were matched to a specific encounter                                                                                                            |
| Non-Encounter Adjustments    | Number of adjustments in this row with no encounter tie — the check-level-only adjustments                                                                                             |
| Total Amount                 | Total dollar amount posted for this Payer + Reason Code combination during the selected period                                                                                         |