This process includes the following components
Matching ANSI 277
Payer claim status responses are matched to billed claims.
This includes custom matching of payer or user proprietary
claim status reports formats. ANSI segments are attached
to billed claims in the data base.
Creating ANSI 276
Batch requests for claims status may be initiated from
an individual claim or in groups based on claim database
searches. Searches may be made by various criteria (e.g., unpaid
claim) or from a list created by 'cut and paste' to the search
screen. Claims queued for ANSI 276 claim request are
batched on demand by payer.
Search of claims
The claim status is a searchable database field. Status
includes claim status responses (277) and payments (835)
posted to the claim data base. Search may be by particular
status code, by claim status groups, by payment, or by
lack of response.
View of claim status
All claim status events for a particular claim may be viewed
with the claim. The status at summary level includes
billed date, claim status responses, and payment posting.
Detail information on each status is also available at the click of a button. |
