|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 patient responsibility and statements are generated for the patient|
|97||SETTL||Settled Encounter||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|
Line Item status
|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|
The line item is ready to bill to the patient via a statement
|1063||SETTL||Settled Encounter||Line item has been completely paid|
|1064||RTSTP||Ready to Send to Payer||The claim is saved in the system for the line item|
|509||CHPSD||Clearing House Passed|
Claims and encounter definitions
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.|
|Claim Scrubbing (In Progress)||
The Claims Scrubbing tab doesn't need review 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 get fixed.
To Send Electronic
|Saved Claims that need to get sent.|
Saved Claims that need to get printed.
Electronic submitted or printed Claims that got sent to the insurance company.
Claim resolved after posting a payment.
Change Healthcare status must get reviewed to determine why Claims were kicked back by the Clearing House.
Rejected Claims from the Clearing House.
Claims that have not had a response in a certain time frame (it's a company preference under utilities). If you want to resubmit, remail, or contact the insurance company, this is up to you and the practice.
|Denied/Left Open||Claims checked for left open is a workspace to work claim denials.|
|All||This is an all bucket that will display all columns.|