The Claim Verification program is used to:
If any claims need verification, you will see them listed on the main program screen. A section may show for each possible claim status, where each status designates the reason the claim needs verification.
Each claim status section represents a particular reason why the claim is showing in this program. You are able to see the following columns:
P | Priority level of the claim |
---|---|
Claim # | the identifier for the claim in this system |
Entry Date | when the claim was entered or received EDI |
Skipped By | who skipped this claim - NOTE that if you hover over this name, you may see the note they left when it was skipped which contains helpful information |
Notify Sender | flag indicating that this claim was not able to be handled internally and is now visible to the client for assistance |
After hovering over the Skipped By name to see helpful information, click the claim number to begin verifying a claim in one of the following sections: