Claims Management Dashboard

Claims Management Dashboard

Claims Management Dashboard Overview

Claims can be manually batched and uploaded at any time, or the Job Scheduler can be used to automate the Claims batching and upload process at a pre-set day and time.

  • Close the Reference Batches with Claims that are ready to be sent.

    • The Claims in a Ready for Submission/Resubmission status that are in a closed Reference Batch will be batched.

    • Claims in Reference Batches that are not closed will not batch.

  • The System creates either Electronic or Print batches based on the Insurance Library settings.

Claims Submission Queue Panel

The table displays the Claim Statuses with the number of encounters and the balance for each status. Use this Queue to batch your Claims manually and to work Claims that did not batch.

 

Claim Batches to be Sent/Printed Panel

This panel contains the list of Claim Batches that have not been sent or printed.

  • Claim Batch Number

  • Number of Claims in the batch

  • Type of Claim

    • HCFA: Paper

    • UB04: Paper

    • Electronic

    • Electronic/Institutional

  • Date and Time the batch was created

  • Current Status: Created

  • User: Person who created the batch or JobExecutor if created by a scheduled Job.

 Learn More


Encounters by Status Panel

This panel shows Claim Statuses:
  • Payer Rejected

  • Clearinghouse Rejected

  • Local Edit Errors

  • Incomplete

  • Ready for Submission

  • Ready for Resubmission

  • On Hold

  • Incomplete Charges, etc

Use the Filters to narrow your search and to include Hidden Statuses.

  • Select the number links in the Primary/Secondary/Tertiary/Patient columns to view & manage the list of Encounters that are included in that number.

  • Select the number links in the Total column to display all Encounters in that Status, for all levels of Responsibility.

  • All links take you to the Encounter by Status list view.

    • Use the Filters to manage all the other Claim Statuses without going back to the Claim Management Dashboard page.

 

Tagged Encounters Panel

Encounters can be Tagged to keep the Claims from being transmitted until the problem is resolved.

  • Tag

  • Tag Description

  • Tag Attributes

  • Aging Days

  • Number of Encounters with each specific Tag

 

Claims Panel  

  • Claims Batches Today

  • Claims Batches This Week

 

Select the Plus icon to the left of Claims to see the Claim Batch Details.


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