Bucket

Status

Description

For Follow-up

Statements Not Going

Claims for accounts with statements on hold. Also includes accounts where pre collection cycle is completed.

Neglected Svc Details

Claim lines that have not been submitted

Pending Rebill

Claims that have been tagged for rebill that need editing

On Hold

Claims that have been placed On Hold

Credit Balances

Any claim with a credit balance on a line item

EHR Imports

Claims imported from your electronic health records system

Denied Svc Details

Denials posted, and claim line not resubmitted yet

Pending

Any claim detail that has had transactions posted to it, but has not yet been resubmitted to a new debtor (when it is resubmitted, it will be removed from pending status)

Errors

EDI Claim Errors

Claims that fail PA's EDI edits when claim file is created

EDI Rejections

Claims that have been rejected by Payer

Pmt Processing Errors

Payment could not process due to error.  Open payment application and click "unposted button"

Import Errors

Claims with import errors

Processing Errors

Claims with errors

Concurrency Errors

Anesthesia claims that exceed concurrency limits

Show All

Shows all statuses for the Error bucket

Awaiting release

Pre-Released

Claims with incomplete information, or claims that the user does not want to submit immediately

For Review

Claims that are ready for review

Concurrency

Anesthesia claims that require concurrency processing

Show All

Shows all statuses for the Awaiting Release bucket

Released

Awaiting EDI Submission

Claims that are waiting to be submitted by EDI

Awaiting Printing

Claims that are waiting to be printed on a HCFA form

Pending Statement

Self Pay claims, or claims transferred to the patient, where a statement has not yet gone

Pending Invoice

Industrial Account claims where an invoice has not been sent yet

Submitted

In EDI File

EDI file has been created, and is pending transmission.

EDI File In Transit

EDI File is being processed by the EDI servers

Submitted by EDI

EDI file has been successfully transmitted, no confirmation received from payer yet

EDI File Confirmed

Payer has confirmed that the EDI file has been received

EDI Confirmed Claims

Positive confirmation has been received from the payer system that the claim has been received and accepted for processing

Medicare Crossover

Medicare payment file shows that claim was crossed over to secondary payer

Submitted by Mail

Claims printed by user on local computer

Billed to Patient

Self Pay claims with statement sent OR

Claims transferred to patient, and statement sent

Billed to Industrial

Industrial Account claims where an invoice has been sent

By Patient

By Patient (OS Claims)

Shows all outstanding claims for the patient selected in the patient combo box on claim general, or the patient name selected on PA Today (which would override any patient name on the claim general form)

Changes the columns in the grid to be DOS/Claim ID/Balance/claim status/status date

By Patient (All Claims)

Shows all claims for the patient selected in the patient combo box on claim general, or the patient name selected on PA Today (which would override any patient name on the claim general form)

Changes the columns in the grid to be DOS/Claim ID/Balance/claim status/status date

All Claims

All Outstanding

All claims with an outstanding balance

All

All Claims

Processing

Awaiting Pmt Processing

Payments that are waiting to be applied to the account

Collections

Collections - O/S

Claims transferred to collections, but not written off

Collections - W/Off

Claims transferred to collections, and written off

Inactive

Paid

Paid claims, or any claims that have a $0 balance as a result of posted adjustments or write-offs

Old (Txfer/Resub/W-O)

For claims that have been fully adjusted off via the resubmit or transfer to secondary processes

Voided

For claims that have been voided