Users can work on the rejected claims through the Claims screen.
To correct a rejected claim:
1. | Expand the left pane, click Billing > Claims. The Claims screen is displayed. |
2. | Click the “Work Rejected Claims” button to filter out all rejected claims that need to be worked. |
3. | Rejected claims will appear in red along with the Claim Status link. |
4. | Click the (Edit Claim) icon to open the claim on the Create Claims screen. |
A rejection report, detailing the reasons for the rejection, will be displayed above.
This report retrieves detailed errors associated with the claim, as well as the original claim submission date/time, who submitted the claim, and insurance name to which the claim was submitted. This provides the user with feedback as how to work the claim prior to rebilling.
5. | Make necessary corrections to the claim. |
6. | Select Rebill To payer, either the Primary or Secondary insurance, by using the Rebill To drop-down. |
Note: If you do not choose a “Rebill To” payer, the worked claim will not be able to be resubmitted and will not move to the Claims Processing screen.
7. | Select the Rebill Type using the drop-down menu, if applicable. |
8. | Enter the ICN, if applicable. |
9. | Click the “Save & Rebill” button to resave and generate the claim. The claim listing in the Claims window below will now display a status of “Rebilled”. |
Note: This will keep the original claim number.
10. | Go to the Claims Processing queue to resubmit the worked claim. |