Automate Real-Time Claim Status with the Job Scheduler

Automate Real-Time Claim Status with the Job Scheduler

*Real Time Claim Status is a Premium Add-On Feature.

Real-Time Claim Status (RTCS) electronically gives immediate feedback on Claims that have been Payer Accepted.

  • The Job Scheduler can be used to check the Payer Claims Status automatically for outstanding Payer Accepted Claims.
  • Set the number of days that the Payer Response is valid using the System Setting:


Job Scheduler Criteria

Admin > Job Scheduler > Add

  1. Run Function: Select Payer Claim Status from the dropdown.

  1. Current Claim Status: Select the Encounter Claim Status(es) to be included in the scheduled job.
  • This is a Multi-select field (More than one Status can be selected)
  • The field defaults to PA.
  1. Role: Select an option from the dropdown if applicable.
  •  All (Default)
  • Primary
  • Secondary
  • Tertiary
  1. You may want to run the Claim Status check for specific Insurance(s), Facility(s), Insurance Reporting Group(s), or Facility Reporting Group(s) (Optional)
  • Select options from the dropdowns on each field.
  • These fields are multi-select.
  1. Check After ____ Days: This setting determines when the Claim Status Job should begin.
  • If the Payer(s) selected for this Job usually pay within 14 days, select 14 (Days) in the dropdown.
  • The Job will begin on the 15th day.
  • The Default is 15 Days.
  1. Send to Worklist, After: The Job will continue to check the Claim Status until it reaches the After Days threshold selected from the After dropdown list.
  • After the specified number of days, the Send to Worklist setting will be used to add the Claim to the Worklist selected in the dropdown.
  1. Update Claim Status if Paid/Allowed: Select the Claim Status for the Encounter after the RTCS response shows that the Claim has been adjudicated and Paid.
  • Does not include a $0.00 Allowed Amount.
  1. Update Claim Status if Denied: If the RTCS response shows that the Claim has been Adjudicated and Denied, the Encounter Claim Status will update to the option selected in the dropdown.

  1. Pattern: Set a schedule for how often the job should run.
  2. Range: Select the timeframe for the job to run.
  • Enter the Start Date.
  • Enter the Time for the job to run.
  • Select No End Date.
  1. Select Save [F2].


Learn More

Real-Time Claim Status



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