Send To Payer Via Clearinghouse: Claim/Charge(s) will be sent to the payer according to your Real Time Claim Submission Settings (RTCS).
User Print & Mail to Payer: Claim/Charge(s) in this status can be printed individually or in a group via the Claim Batch screen.
Balance Due Patient: Outstanding Claim/Charge(s) balances with this status are added to the patient balance and are included in patient statements.
On Hold: The Claim/Charge(s) is on hold and will not leave the system. This status should be used if further actions are required on this before sending to the payer.
Claim at Payer: The Claim/Charge(s) is at the payer. Claims/Charges are automatically set to this status after being sent to the payer or printed from the application.
Incomplete: The Claim is not complete and will not leave the system. Claims will automatically be set to this status if the claim or patient record are missing required fields.
Pending Payer: Outstanding Claim/Charge(s) balances with this status are added to the Insurance balance.
Pending Patient: Outstanding Claim/Charge(s) balances with this status are added to the patient balance, but are not included in statements. This is helpful if you are waiting for a patient payment, but don’t want to send them a statement.
Pending Physician: Hold status for Claims/Charges(s) that are pending the office/provider.
Collection: Removes Charge Balance(s) from AR. We recommend using this status if the outstanding balance has been transferred to internal collections or an external collections agency..
Paid: The Claim/Charge(s) has been paid.
Deleted: Deletes the Claim/Charge(s) upon saving the claim.
Waiting for Review: The Claim/Charge(s) needs to be reviewed and status updated before it will be sent to the payer. Claims created via an interface will be left in this status.
Appeal at Payer: This Claim/Charge(s) is being appealed by the payer.
Denied at Payer: The Claim/Charge were denied by the payer.
- Rejected At Clearinghouse: The Claim/Charge(s) were rejected by the clearinghouse.