Real-Time Claim Status

Real-Time Claim Status


Real-Time Claim Status

*This is a Premium Add-on feature.

A Claim can appear to be Payer Accepted, but the Claim has not been adjudicated. 

The manual workflow to obtain a status on the Claim can be very time-consuming. 

  • Real-Time Claim Status (RTCS) is an electronic method of getting an immediate Claim Status update from the Payer.
  • If the Claim shows a Status of Payer Accepted on the Encounter Dashboard, the option Check with Payer link will be available for checking Real-Time Claim Status.
  • Encounter Dashboard > Policy Breakdown panel > Insurance line > Check with Payer
  • The Last Checked Date makes it much easier to view the last results and should also help prevent unnecessary RTCS checks.




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