How to View Unsubmitted Files?

Claims > Claims Management > Claim Files

To send claims electronically, there are 3 basic steps:

  1. Generate Claim
  2. Update Claim Status
  3. Upload

The application provides this folder as a warning that these claims were not uploaded (sent) to the clearinghouse. Until they are uploaded, they are not processed or paid. Next to Unsubmitted is a counter that shows the number of files yet to be submitted.

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Claims Un-submitted

 

 

 

 

 

 

 

 

Users can filter claims in the un-submitted claims bucket on the basis of their plan and plan priority.

User selects a specific Plan and plan Priority from the drop downs and clicks search.

System displays the results according to the selected criteria in plan priority and plan filters.

A column ‘Responsible Plan’ is introduced in listing page. Users can view EDI files according to the responsible plan.

 

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Unsubmitted Claims Tab

Users can disable the download button in the Unsubmitted Claims Tab. new_symbol

Once this option is disabled, the download button disappears from this screen.

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Unsubmitted Claim Files

To see how to disable this, click here.