# Claim Submission

The **Claim Submission** report provides all the data for posting the claims. This will help the users to view all the claims related information.

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### Steps to Generate the Claim Submission Report

* Open the **Claim Submission** report by navigating to **Home > Reports > Insurance Reports > Claim Submission Report.**
* Set the **From** and **To** date range.
* Optionally, use the **Clinic**, **Doctor**, **Price Group** and **Insurance** filters to refine results.
* Click **Search** to generate the report.

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### Report Structure

The generated report includes detailed information such as the **serial number, MRN**(Patient PIN)**, patient name, date of birth** (formatted as dd/mm/yyyy)**, gender, and patient Emirates ID.** For non-residents, the **passport** number is displayed. It also lists insurance details such as **TPA ID or name (Receiver ID), Insurance ID number,** and the **policy expiry date** (dd/mm/yyyy).

Clinical data includes the **visit date, doctor name, Ordering Clinician ID, Performing Clinician ID,** and **payer ID** (insurance name or ID). Additionally, the report displays the **chief complaint, invoice number,** and **invoice date** (dd/mm/yyyy), along with CPT codes and treatment information such as **type, CPT code, quantity, unit price, total amount, patient share,** and **net amount.**

Based on configuration, the report also includes additional clinical fields. **Height, Weight, BMI, BPS,** and **BPD** are populated from the latest **Precheck/Vitals** entry captured for that visit. **HBA1C** and **eGFR** are populated from the laboratory data mapped to the relevant **CPT** codes.

If applicable, the report also shows pre-authorization details, including the **pre-auth code, approved date** (dd/mm/yyyy), and **expiration date** (dd/mm/yyyy). Administrative information such as the **employee ID, department,** and **patient highlights** is also included to assist with operational context and follow-up.

The screen also includes functional tools: **Pagination**(To browse multiple pages of results), **Zoom and Refresh** controls, **Search within the report, Print,** and **Export** options.

{% hint style="info" %}
For clinics registered under **Shafafiya**, the report displays both insurance and self-pay invoices. For clinics registered under **DHA** and **Riayati**, the report displays only insurance invoices (claims). The report also includes an additional column **Invoice Type** to indicate whether an invoice is self-pay or insurance.
{% endhint %}

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