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eClaims Ability At A Glance - Interactive

The eClaims ability is used to easily manage claims going out of the office as well as any updates that correspond with the claim. This ability will allow the user to fix invalid claims before they are even sent to the clearing house. If a claim is rejected this ability can be used to create a support ticket to find out why the claim was rejected. 

This is an interactive image. Scroll over the screen to see MacPractice change. Click on an item to read documentation. 

 

SendThis button allows the user to transmit electronic claim directly to our partner clearinghouse from the Ready Bin, or generate a .CLM file for manual upload to a non-partner clearinghouse.
Rebuild: This button allows the user to update new information in selected eClaims.
Move To Menu: This drop-down menu allows the user to manually move claims from one bin to another without transmitting the claim or updating new information on the claims.
Template Filter: This drop-down menu allows the user to view claims based on the template on which they were created.
Invalid Bin: This bin shows the contents of the Invalid Bin. eClaims are moved to this bin automatically to prevent erroneously sending claims that are missing necessary information.
Ready Bin: This bin shows the contents of the Ready Bin. eClaims are placed in this bin at the time they are created. Claims in this bin are ready to be sent.
Sent Bin: This bin shows the contents of the Sent Bin. eClaims are moved to this bin automatically once the claim has been transmitted to a partner clearinghouse or the .CLM file has been generated for manual upload to a non-partner clearinghouse.
Rejected BinThis bin shows the contents of the Rejected Bin. Certain partner clearinghouses will send back reports on sent eClaims. When a report shows a claim as not being accepted by the clearinghouse or payer, MacPractice will automatically move the claim to the Rejected Bin.
Accepted BinThis bin shows the contents of the Accepted Bin. Certain partner clearinghouses will send back reports on sent eClaims. When a report shows a claim as being accepted by the clearinghouse or payer, MacPractice will automatically move the claim to the Accepted Bin.
Paid/Closed BinThis bin shows the contents of the Paid/Closed Bin. Once a user has applied payment to all procedures on an eClaim, MacPractice will automatically move the claim to the Paid/Closed Bin.
Archived BinThis bin shows the contents of the Archived Bin. This bin is for the purpose of moving eClaims that no longer need to be considered for payment or rework.

Claim Table: This panel displays all eClaims within the selected bin that meet the selected filters
Claim Details: This panel is comprised of various nodes that contain the information related to the claim selected in the claim table. 
Claim Status: This panel displays the activity of the claim selected in the claim table. Each status will reflect the date and time of the activity, which user performed the activity, and which activity was actually performed. This is also where clearinghouse/payer correspondence will be displayed.

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