View Claim Statuses

You can review the status of submitted claims. This allows you to stay informed, identify claims that need follow up, such as rejections or pending response, and take action to avoid delays and ensure timely filing.

Tip: Rejected claims display in red.

Claim statuses may include any of the following:

Status Description

Pending response

Claim has been submitted to clearinghouse.

All Rejected (file, claim)

Claim has been rejected by the clearinghouse and the payer.

File Rejected

Claim has been rejected by the clearinghouse.

Claim Rejected

Claim has been rejected by the payer.

All Accepted (file, claim)

Claim has been accepted by the clearinghouse and the payer.

File Accepted

Claim has been accepted by clearinghouse.

File Accepted w/err.

Claim contains an error but was accepted by the clearinghouse and forwarded to the appropriate payers.

Claim Accepted

Claim has been accepted by the payer.

All processed (835, manual)

Payment for the claim has been processed automatically or manually.

Processed (835)

835 has been received and payment for the claim has been processed automatically.

Processed (Manual)

835 has been received and payment for the claim has been processed manually.

EOB received

Select the checkbox to include only remitted claims with a balance.

To view a claim status:

  1. Open the Claims module and click the Submitted Claims tab.

  2. From the Status drop-down list, select a status.

    3. Example: Pending Response

    Tip: To further narrow the list of claims, you can set additional search fields.

  3. From the Status Date from and Status Date to fields, enter a date range to filter claims based on their status between those dates.

  4. Click Apply Filters.
  5. Review the list of claims as necessary.