Statement of Account

The statement of account in ChiroHD provides an overall summary of services. The breakdown of services are itemized by the date range selected when querying the statement.

There are currently two Statement of Accounts located within ChiroHD. The Legacy Statement is our original form and provides a general overview of account activity. The BETA Patient Statement of Account gives a more user-friendly overview broken down by insurance and patient activity.

Both reports include:

-Patient demographics
-Pertinent provider information including NPIs and EIN
-Diagnosis codes

Below are the Legacy Statement of Account columns and descriptions:

Date: The date the service was rendered
​Description: The CPT code and corresponding service provided
​Claimed: The amount billed to insurance by service
​Paid: The amount paid by insurance
​Charges: The remaining charges after the contractual discounts/allowed amounts and write offs have been applied OR if a cash case, then the charges associated with the service
​Write-offs: Any non-insurance related write-offs (ie. prepay or multiple family member discounts…)
​Taxes: Any applicable taxes
​Payments: Payments made by the patient
​Balance: Running amount due

Below are the BETA Statement of Account columns and descriptions:
​Column titles will vary if practice does not take insurance

Date: The date the service was rendered
​Code: The CPT code
​Mod: Any modifiers necessary for billing the corresponding service
​Description: The description of the service provided
​Amount: Either amount billed to insurance OR amount due for service if cash case
​Paid (Insurance Specific): The amount paid by insurance
​Write-off: The difference between the original charge and the allowed amount set by insurance
​Balance: Running amount due
​Owes: Patient responsibility amount due
​Paid: Payments made
​Balance: Running amount due