Billing statuses identify what stage a claim is in and what steps should be taken next. A claim's billing status is found by selecting the Billing and Submission Report filters from the Dashboard.
Claim has not been billed but is saved as a session in the calendar.
Claim has been submitted.
Claim for which the calendar session was entered and removed before the claim was able to be submitted. This will show up as a $0.00 line item.
Indicates the amount expected was received.
Note: If you manually mark this option as Received, it will automatically mark it paid at the full billed amount instead of the contractual amount.
A claim is in this status for one of multiple reasons. Three examples include:
- Claim is failing to submit because client is missing key demographic information. For example, the Subscriber Number is missing.
- Claim was denied by the payer.
- Waterfall map is not set up properly or secondary subscriber number is missing from InsuranceNumbers link.
You can see the Error information by checking off the Display Errors check box when running the Submission Report.
Claim has processed and the client has a deductible, coinsurance, or copay.
Claim was generated to the patient due to patient responsibility.
Claim was not paid at the contracted rate entered in AccuPoint.
- Confirm the rate with the payer. Update the contracted rate in AccuPoint if needed.
Use this status to write off a claim or indicate the claim is unable to be paid.
Claim was sent to payer as voided.
Cancel on Next Bill
Submits as a reversal of a previously paid claim.
Hour Change Next Bill
The claim's calendar session was updated after the claim was submitted.
- Check if any additional time/units were added to the claim.
- Wait for the payment of the original claim.
- Mark the claim as Ready To Bill to submit out a corrected claim.
- Make sure the TCN is included on the claim by checking off the Display TCN Number checkbox when running the Submission Report.
NOTE: Other billing statuses may have been customized for your AccuPoint site.