Checking Claims for Rejections

After you send claims the clearing house will send you reports if the claim is accepted or not. If the claim is rejected then we need to fix and refile immediately.

From Manage Claims:

Go to Billing -> Manage Claims. Set the Filter as below

If you see Amt$ = $0.0 and Bal$ = $0.0 then change the status to Completed

Click on the icon to see the rejection reason. There could be various reason why the claim is rejected. Most common reasons are Invalid Diagnosis, Invalid Procedure, Taxonomy Code missing etc