Denied claims for inactive insurance
T
Tammy Hulsey
It would be great to have more options to describe denied claims. I had a client whose claim denied because the insurance was inactive. We do not have the updated information on file if there is any. I LVM for the client and sent an email to request the information or the client would be considered Cash Pay. But, the status of the claim only has an option to show as denied even though I can select the claim has been reviewed. We need a free text status or another status stating insurance is inactive. We do not want to delete the claim because of the need for claim history when working on claims and patient responsibility. If new insurance is added, we want to create a new claim. But, while working claims, we don't want to see a claim that has been denied on the list that has already been worked on. If running reports, it looks like we have more denials that what we do even though the situation has been taken care of. Maybe the claim history needs to updated to show claim was billed to this insurance, then so and so insurance was inactive and then claim was billed to updated insurance. But, there needs to be a different option than showing denied. Maybe something that says "working" or "follow up".
Cherie Blickenstaff
Adding to this, you can only see the reviewed/resolved claims if you're in the expanded view. It would be useful to see the green Reviewed label in the compact view instead of just Denied.