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 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

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	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 got 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 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.
To Print	Saved Claims that need to get printed.
Pending	Electronic submitted or printed Claims that got sent to the insurance company.
Resolved	Claim resolved after posting a payment.
Canceled	Canceled claims.
Errored	Change Healthcare status must get reviewed to determine why Claims were kicked back by the Clearing House.
Rejected	Rejected Claims from the Clearing House.
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, 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.