Those claims which are rejected by insurance company fall under this status. Upon selection of “Rejected by Payer”, provider will get list of all Rejected by Payer.
Those claims which are partially approved by payer falls under this status. Upon selection of “Partially Approved Card”, provider will get list of all Partially Approved Claims.
Claim Communication (Provider to Payer)
Use this feature to send any communication (mean it is a message) to payer. Please note that, the provider can send communication to an already submitted claim request.
Step 1: Click on any claim transaction.
Step 2: Navigate to “Communication” tab
Step 4: Click on “Add Communication”
Step 5: Enter communication message and click on “Add” button.
Note: User can choose a file to attach. User can add multiple messages and files as attachments.
- Choose File: Click on the button browse and add the file as an attachment
- Text Field: User can enter any message.
- Select Item: A communication can be sent for any particular item, please click and choose the needed item to be added to the communication.
Step 6: Click on “Add Communication” to send the Communication to payer.
Note: An error message displayed to the user with the message if the communication transaction gets failed. It is a real time transaction to paye, on successful transaction the message will be added to claim request. System will also show number of communications as well as communication request upon claim transaction line, so that provider will get to know that some communications have done with payer for that particular claim.