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NOTE: Depending on the method of access and your current permissions, the page displays differently and some information may be disabled or unavailable. |
Use this tutorial to display detailed information about a claim from the Claim List page.
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NOTE: Depending on the method of access and your current permissions, the page displays differently and some information may be disabled or unavailable. |
Complete the following steps to perform this tutorial:
Display the Claim List page.
Claim List page (default view)
View the list claims in the Claim List table.
Detail provides a link to the Claim Detail page for the selected claim.
History provides a link to the Claim History page for the selected claim.
Auth provides a link to the Authorization Detail page for the selected claim.
Claim Number displays the identification number for reference.
Child Name displays the child's first and last name.
Child ID displays the child's unique identification number.
Date of Birth (DOB) displays the month, day, and year on which the person was born.
Amount Billed displays the total amount billed for the claim.
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).
Provider Name displays the name of the service provider.
Patient Acct # displays the providers patient account number.
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NOTE: If no results are found, the table displays a single row containing the text: "No Records Found". For more information about tables, see the Tables topic. |
Click the 
icon next to a specific claim in the Detail column of the Claim 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.
Provider Name displays the name of the service provider.
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.
Status displays the current status of the activity.
Adjustment Reason displays the reason for which the claim was adjusted, if applicable.
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 the claim:
Line displays the item number for the line item.
Service Date displays the date the service is or was provided.
Place of Service displays the location at which the claim line item was provided.
HCPCS Code displays the selected HCPCS code for the service.
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.
EI Code displays the EI identification number and description.
CPT displays the CPT code for the 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.
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NOTE: Depending on the claim types displayed and your permission level, the page displays differently and some information may be disabled or unavailable. |
Version 1.6
