Manage Claims is the place to go to proactively work on claims that need to be billed or re-billed.
There are 2 ways to access the clinic’s list of claims, here’s how:
1. On In Touch Biller Pro’s Dashboard/Home Page go to Billing > Claims then click on Manage Claims.
2. Another way is to access the Shortcuts Menu found on the right side of In Touch Biller Pro’s Dashboard/Home Page.
You will be brought to this page where you can access the list of the claims that came from In Touch EMR to In Touch Biller PRO and the ones that were created manually.
The following are the sections on the Manage Claims page:
- User Hold – this is where you access the claims that have not been billed yet. This is also where you can delete, edit and submit the claims.
- Paper Accepted – this is the list of paper claims that must be printed.
- HF Rejected – in here will show you the list of claims that were rejected in the clearing house level.
- Payer Rejected – in here will show you the list of claims that were rejected in the payer level.
- HF Accepted – this displays claims that have passed the Healthfusion claim scrubbing rules and are queued to be transmitted to the Payer.
- Appealed – in here will show you the list of claims that got denied and have been marked for appeal.
- Denied – in here will show you the list of claims that got denied.
The Warning (!) icon will appear on any of the section to indicate that there are claims present within the last 30 days.
Tracking Your Claims
The “Claims Follow-up” dashboard displays claims that have been billed but have not been paid. The claims are grouped in the standard aging buckets. To access it go to (1) Billing > (2) Claims > (3) Claims Follow Up