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Report of denied claims?
Posted: Tue Jan 06, 2015 9:50 pm
by drk
We have bulk posted to Medisoft 19, a couple of months worth of 835's; We are at a loss to figure out which claims were denied, eg., for referrals, no coverage etc.
Is there any way to report the denials (either the whole claim or a claim line)? I would like to correct & resubmit or appeal them before it is too late!
Re: Report of denied claims?
Posted: Wed Jan 07, 2015 8:52 am
by Gavin Walker
If you are posting these with Revenue Management, then there is an option to set the primary or secondary claim status. So if Revenue Management was setup to set the status to Rejected, then you can go into Claim Management and sort by the Status 1 or 2 column to see the rejected claims. Also, the note on the claim should contain the rejection reason.
Re: Report of denied claims?
Posted: Wed Jan 07, 2015 11:43 am
by drk
Yup, the claim management has a small page sign on the left that indicates something not normal -- however, most claims I checked did not have a reason for denial/rejection -- the comments box only had two identical ICNs one below the other -- This does not seem to indicate a duplicate, as many "done" claims have two ICNs in the comments as well.
In any case, this at least gives me a way to go through a significantly smaller list. Thanks.