It is extremely important for clinicians to know when there are exceptions to claims processing (rejection, denial, etc). At present, there is no "alarm" so to speak to tell me that a claim has been denied (a flag, notification, invoice, email, etc). The only way to know that a claim is denied is to run the filter to search for denied claims but this requires clinicians to run that filter on a regular basis to ensure that denied claims are not missed. This is not very efficient. To me, the easiest solutions would be to either (1) implement an email notification when claims are denied the same way that you did when they are rejected by the clearinghouse or (2) automatically create an invoice given the amount is kicked back to the patient just like you do when they owe a copay or deductible.