Claim History page (default view)
Use this tutorial to display detailed information about a claim from the Claim History page.
Complete the following steps to perform this tutorial:
Display the Claim History page.
Claim History page (default view)
Click the 
icon next to a specific claim in the Claim History List table. The Claim Detail page displays.
Claim Detail page (default view)
View the following details for the claim:
Claim Number displays the identification number for reference.
Patient Acct # displays the providers patient account number.
Authorization # displays the identification number for the authorization.
Submitted Date displays the date on which the claim was entered into the database (or the date on which the claim was received in EIX).
Total Amount Billed displays the total amount billed for the claim.
Adjustment Reason displays the reason for which the claim was adjusted, if applicable.
Status displays the current status of the activity.
Resubmitted Reason displays the reason for which the claim was resubmitted, if applicable.
In the columns of the Claim Line Detail table, view the following information for each line item associated with a claim:
Line displays the item number for the line item.
Date displays the date on which the line item was entered.
Place of Service displays the location at which the claim line item was provided.
EI Code displays the EI identification number and description.
CPT displays the CPT code for the line item.
Units displays the number of units for which the provider is billing. 1 unit equals 15 minutes of service time.
Billed Amount displays the dollar amount charged for the claim line item.
Disallowed displays the dollar amount disallowed for the claim line item.
Denied displays the dollar amount denied for the claim line item.
Reason displays the reason why the claim line item was denied.
Previously Paid displays the dollar amount previously paid on the claim line item.
Net displays the net amount paid for the claim line item.
Version 1.6