Customize the Encounter by Status Panel (Claim Status)

Customize the Encounter by Status Panel (Claim Status)

The Encounter by Status Panel can be customized by moving and/or adding Claim Statuses.

Change the Order of the Claim Statuses

  1. On the Libraries screenselect the Claim Status button.

  2. Change the order the Statuses appear in the Encounters by Status list by using the up/down arrows to drag and drop.

Claim Status Sections

  • Default: Shows by Default

  • Expanded: This shows when the Plus icon is selected.

  • Hidden: This shows when the 
    Plus icon is selected and the checkbox to 
    Include Hidden Statuses is selected.

Section Views on the Encounter by Status Panel

Default View

 

Default, Extended, and Hidden Status View

Add a Custom Claim Status

  1. On the Libraries screenselect the Claim Status button. 

  2. Select the Add button to create a new Status.

  3. Enter a Claim Status Code: Abbreviated version of the Description.

  4. Enter a Description.

  5. Expected Response (Days): Do not show Encounters on the 
    Encounters by Status panel until the specified amount of days has passed.

  6. Available in Charge Entry: Select the checkbox to make available during Charge Entry.

  7. Mass Write Off: Select to make this code available on the Mass Write Off function.

  8. Hold Remit: Select to place an ERA Remit on Hold.

  9. Display: Choose where you want this Claim Status Displayed.

    • Default

    • Extended

    • Hidden

  10. Background Color: Choose the background color for this Claim Status.

  11. Text ColorChoose the text color for this Claim Status.

  12. Rebill Encounter: Select if you want the System to Rebill the claim automatically and Change the Claim Status to  Ready for Submission/Resubmission when modifying an Encounter with this Claim Status.

  13. Save [F2].

 



Customize the Crossed from Primary (EPX) Status

You may not want to see these Crossovers until the secondary has time to pay. Expected Response days can be added to the EPX Claim Status so that the claims that are a certain amount of days old will show on the Encounters by Status list.
Libraries > Claim Status

Expected Response Days

  1. Select EPX.

  1. In the Expected Response (Days) field, enter the approximate number of days that it will take the Secondary to pay after the Primary pays.
  2. Select Save [F2].

Place a Claim on Hold

To prevent a claim from transmitting, use Claim status, IPH (Hold), or create your own custom Claim Status. Do not use  IP03, IP04, or IP06 because these are transmission codes.

Learn More

  1. Charge Management Rules