Line item and Claim Status Definitions

Encounter status

ID	Code	Description	Detailed Description
93	IMEHR	Imported	Encounter(s) imported from EHR/Interface
94	NEWEN	New Encounter	Newly created encounter, yet to be billed
95	CLMIN	SentToPayer	Claim sent to the payer
96	RDYTB	ReadyToBill	Encounter is now the patient's responsibility and statements are generated for the patient
97	SETTL	Settled Encounter	The encounter balance has been completely paid
729	RTSTP	Ready to Send to Payer	The claim is saved in the system
1057	CLILO	Sent to Payer Leave Open	A line item is left open to send an appeal to the payer
1292	DRFTE	Draft Encounter	These encounters won't be visible on the UI

ID	Code	Description	Detail Description
1059	IMEHR	Imported	Encounter(s) imported from EHR/Interface
1060	NEWEN	New Encounter	The line item is yet to be billed
1061	CLMIN	SentToPayer	The claim is sent to the payer for the line item
1062	RDYTB	ReadyToBill	The line item is ready to bill to the patient via a statement
1063	SETTL	Settled Encounter	The line item has been completely paid
1064	RTSTP	Ready to Send to Payer	The claim is saved in the system for the line item

Unbilled	Unbilled (imported or manual) encounters that still need to get worked in the billing system.
Ready to Send	An encounter that has a claim associated and is ready to send to the payer.
Billed	An encounter was sent to the insurance company, and it is ready to bill the patient. Settled Encounters
Claim Scrubbing (In Progress)	The Claims Scrubbing tab doesn't need reviewed every day, but a glance is necessary if encounters are in the scrubbing process. Contact RXNT support if you're experiencing delays or issues.
Claim Scrubbing (Corrections)	Encounters that have not been created into a Claim because they have corrections that need to be fixed.

To Send Electronic	Claims that need to be submitted electronically.
To Print	Claims that need to be printed and sent out.
Pending	Claims sent electronically or printed that were sent to the insurance company.
Resolved	Claims that have been resolved.
Canceled	Canceled claims.
Errored	Change Healthcare status must be reviewed to determine why the Clearing House kicked back claims.
Rejected	Rejected claims from the clearing house or payer.
No Response	Claims that have not had a response in a certain time frame (it's a company preference under utilities). If you want to resubmit, email, or contact the insurance company, this is up to you and the practice.
Denied/Left Open	Claims that have been denied or left open for review.
All	This is an all-bucket that will display all columns.