Released Claims Bucket for Tracking Claims Released from Hold

Access Released Claims

Search Released Claims

Release a Claim from Hold

What’s New

• A new Released Claims tab is available alongside On Hold Claims and Advanced Search.
• The Released Claims listing displays key claim information, including:
  – Appointment
  – Patient
  – Responsible Plan
  – Provider/Resource
  – Balance
  – Eligibility
• Claims are added to the Released Claims queue when:
  – A claim’s status changes from On Hold to a non-hold status through the Charge page.
  – A charge is released from hold through the On Hold page.
  – The On Hold flag is disabled from Claim Status.
• Claims are removed from the Released Claims queue when:
  – The charge is present in the Pending or On Hold tab of the Problem List.
  – A supported payment-related activity, such as a denial or write-off, is applied.
  – A claim is submitted against the charge.
• Advanced Search is available for both On Hold Claims and Released Claims and applies only to the selected tab.
• The Released Claims tab remains visible while users are working within the Released Claims listing.
• When users navigate to another page using an action button or link from the On Hold listing, the Released Claims tab is hidden on the destination page.

How It Works 

• Navigate to Claims Management > On Hold Claims.
• Select the Released Claims tab to view claims that have been released from hold.
• Review the claim information displayed in the Released Claims listing.
• Use Advanced Search to locate specific claims within the Released Claims queue.
• When a qualifying claim is released from hold, it is added to the Released Claims queue.
• When a qualifying payment activity, claim submission, or Problem List status removes the claim from the applicable workflow, the claim is removed from Released Claims.

Benefits

• Provides a centralized queue for claims released from hold that still require follow-up.
• Reduces reliance on external Excel spreadsheets for tracking released claims.
• Improves visibility into claims requiring additional billing action.
• Reduces the risk of released claims being overlooked or delayed.
• Supports more efficient follow-up through tab-specific Advanced Search.