Why do some claims go to the Pending Payer Paper Claim bucket?

Why do some claims go to the Pending Payer Paper Claim bucket?

There are several reasons why a released claim may end up in the Pending Payer Paper Claim bucket.
  1. The insurance plan selected on Claim-General does not have a Payer ID.
  2. There is an insurance plan mismatch on the claim, e.g. the claim is Institutional, but the select insurance plan is Professional.
  3. The claim is a secondary or tertiary claim and there is some complication related to that situation.

For scenario 1, you can go to ProviderSuite > Settings > Insurance > Show Insurance Plans to review the details for the selected insurance plan.
For scenario 2, you would need to either select a new insurance plan or change the claim type from Facility Bill to regular or vice versa.
For scenario 3, you will need to review the Patient's insurance details and contact the payer to research how the claim should be configured

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