Denial Worklist Overview

Denial Worklist Overview


The Denial Worklist is populated when an ERA is applied, and at least one line item on the Remit has a zero dollar Payment or when it is statused to the DW on the ERA Remit Items screen.

  • The Worklist is interactive where the Encounter Dashboard, Patient Dashboard, the ERA, the Remit, and the Receipt can be accessed.
  • In the Claim Stat column, the plus icon can be used to:
  • View whether this is a Primary, Secondary, or Tertiary Payer.
  • Line item details
  • CARC and RARC codes
  • Charge, Allowed, and Paid Amounts
  • There are fewer options on this Worklist than the other Worklists in the System.
  • If you want more options when working the DW, the Remit can be added to another designated Worklist using the ERA Remit Items screen.


Access the Encounters the Denial Worklist for individual ERAs

  • On the ERA File Dashboard  by selecting the number in the DW box;

Access all Encounters on the Denial Worklist

                  

Denial Worklist Filters

The Filters can be used to narrow the DW list.

  • View: Summary or Detailed view.
  • Remit, ERA: Enter a Remit or ERA Number.
  • Patient: Enter a Patient ID or use the Lookup icon to search for a Patient.
  • Include Zero Balance Encounters: Select the checkbox to include Encounters that have a zero balance.
  • Use the Lookup icon on the respective fields to filter specific items: Encounter, Receipt, Insurance, Denial Code, and Facility.
  • Takebacks: Inclusive, Exclusive, Only
  • DOS From and To: Look for a range of Dates of Service.
  • Patient and Insurance Bal >= and <=: Filter for specific balances.
  • Charge, Paid, Applied, and Unapplied Amounts >= and <=: Filter for the specific criteria using greater than/equals to and/or less than/equals to.
  • Unapplied Only: Select the checkbox to view unapplied Payments only.
  • Include Inactive: Select the checkbox to include Inactive Patients.


Learn More

Post DW (Denial Worklist) or On Hold (H) Remits




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