Resubmit Rejected Claims

Billing -> Claims Manager -> Submitted Tab

Edit claims that have been submitted to Clearinghouse or Receiver and rejected with errors prior to submission to Payers.

Select Claim for Correction

Select Claim for Correction

1. Click the Submitted tab, double click a claim to open Claims tab in Patient Account..

 

Edit Claim

Edit Claim

1. If rejection is for Visit information, click the More Info button.

2. If rejection is connected to Charge details, double click the line item in Claim Details section of the Claims tab.

 

Edit Charge Details  

Edit Charge Details  

This is an example of a claim rejected for having more than four diagnosis codes per Procedure Code. Other edits/corrections can be made by clicking inside the applicable fields/sections.

3. Click to highlight the Diagnosis Code that is to be deleted.

4. Click the X  to delete the code. Repeat for any additional diagnosis code to be deleted.

5. Click Save and then Close patient account to return to Claims Manager.

Repeat steps 1-5 for each claim that has been rejected.

 

Rebuild Claims

Rebuild Claims

6. After all claims have been edited/corrected, Click the Rebuild button for each to apply changes to the claim.  

This process will automatically move the claim to the Pending Scrub section in the Working tab.

Scrub Corrected Claims

Scrub Corrected Claims

7. Click to highlight the corrected claims.

8. Click Scrub.

Submit Corrected Claims

Submit Corrected Claims

9. Click to highlight Corrected claims.

10. Click Submit Selected.

After claims have been exported, follow the usual procedure to Upload claims to Clearinghouse or Receiver.

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