The Reports module in Beacon Rebate Model provides a detailed view of previously submitted pharmacy and medical claims. Use these reports to review claim activity, monitor validation results, identify issues, and investigate individual claims.
Reports are organized into two modules: Pharmacy and Medical. Both provide the same tools for filtering, reviewing, and exporting claims, with differences in the information displayed based on the claim type.
Understanding the Claims Reports
The Pharmacy Claims Report and Medical Claims Report display claims previously submitted to Beacon Rebate Model. Each claim appears as an individual row, providing an overview of its identifying information, submission history, validation results, and rebate activity.
Both reports allow you to review claims across covered entities, identify claims with validation issues, and access additional details about how individual claims were processed.
Understanding the Claims Table
The claims table brings together important information about each submitted claim. Both reports display the following information, with certain fields tailored to the claim type.
Claim ID – Unique identifier assigned to the claim in Beacon Rebate Model.
Rebate – Indicates whether the claim is accepted for rebate processing.
340B ID – The covered entity's 340B ID associated with the claim.
Pharmacy / Facility – Location associated with a pharmacy claim or facility associated with a medical claim.
NDC – National Drug Code identifying the product associated with the claim.
Balance – The total claim units available for rebate processing.
Submissions – Number of times the claim has been submitted.
Result – Most recent claim validation outcome, displayed as Conforming or Non-Conforming.
Issues – Number of validation issues identified for the claim.
Submitted – Date of the most recent submission and the user who submitted the claim.
Claims with a Non-Conforming result have identified validation issues that may require further review. The Issues column provides a quick indication of how many issues are associated with each claim, while the Submissions column helps identify claims that have been submitted multiple times.
Finding and filtering claims
The filtering options above the table help narrow the displayed claims, making it easier to locate specific records or investigate submission activity.
Claims can be filtered by Date Range, 340B ID, and additional criteria available through Add Filter. These options are useful when reviewing claims for a particular covered entity, investigating claims submitted during a specific period, or narrowing a larger set of results.
Additionally, the Export option allows you to download report data for offline review, reconciliation, or record keeping.
Reviewing individual claims
Both the Pharmacy and Medical Claims Reports provide two levels of detail for investigating individual claims: the Claim Details View and the Claim Overview.
Claim Details View
Selecting a claim in the table opens a panel on the right side of the report. This panel presents key information about the claim without requiring you to leave the report.
The quick-view panel includes:
Claim Details – Claim identifier and access to the full Claim Overview.
Submission Details – Key claim information, including relevant service, pharmacy, or facility details, depending on the claim type.
Allocations – Allocation information associated with the claim, when available.
Issues – Validation issues identified for the claim, including descriptions of each issue.
Claim History – Historical activity associated with the claim, including previous submissions and related processing results.
This view is particularly useful when investigating a claim's validation results or reviewing its identifying information before exploring the complete claim record.
Claim Overview
For a more comprehensive investigation, select View Details in the quick-view panel to open the full Claim Overview.
The Claim Overview brings together detailed information about the claim, including its validation status, claim details, rebate activity, allocations, and submission history. The information displayed may vary depending on whether you are reviewing a pharmacy or medical claim.
This provides a centralized location to understand how a claim was processed, investigate identified issues, and review its activity throughout the rebate process.
The Claim Overview can also be accessed from other areas of Beacon Rebate Model, making it a consistent reference point for investigating individual claims.
Learn: For a complete breakdown of claim statuses, rebate details, and submission history, see Claim Overview.
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