Once claims are filed electronically this is where you can track activity & where Office Ally will provide live status updates on claims approvals & rejections.
TRACKING ELECTRONIC CLAIMS ACTIVITY AFTER CLAIMS HAVE BEEN FILED
Within 24 hours Office Ally will provide an update indicating that claims have been received. You may receive a second status update directly from the Insurance Co. within 5-7 days. This will appear as a 'Payer' status update.
Go To: BILLING > PAYMENTS > E-CLAIM TRACKING
| Note |
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| Not all Insurance Co.'s respond electronically on claims/rejections, and after 7 days no further live updates will appear on batches. At this stage, you are simply waiting on EOB's/ERA's to be received from the Payer/Insurance Co.UNDERSTANDING & MANAGING UPDATES & STATUS TYPES: |
- Awaiting: The initial status on a filed claims batch will show Awaiting until Office Ally processes the claims & provides an updated back into the system.
- ACCEPTED status (in Green)- means Office Ally processed the claims batch and they will be forwarded to the respective payers.
- ACCEPTED* status with a Red * Asterisk – means that one or more claims within the batch have been rejected.
- REJECTED status (in Red) means the entire batch has been rejected.
- DETAILS: Click on the 'Details' box (on left) to pop-open batch and view all claims details.
- OA Claim ID: Office Ally will assign a 10 Digit 'OA Claim ID' Number (on left)
- View Individual Claim Status' & Rejection Reasons: To view individual rejections, click DETAILS on a batch & click on the Blue+Tab (on left) for any individual claim to view further details.
- Print Errors & Print All: Clicking either option will display an entire inventory of all rejection reasons for all claims in that batch and you can print this report.
- To Refile An Individual Claim: Claims can be placed into Refile status by clicking on the blue 'REFILE' tab (on right)
- This will place the claim in the *'Print/Send Claims' page where you can then further manage the claim & make any necessary edits before refiling.
- Clicking on the claim 'DOS' MM/DD/YYYY provides direct access the HCFA details where you can make edits.
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