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Claims Grid

 
Claims Grid
1

Expand Claim Row

Clicking the plus symbol to the left of any line in the grid will cause sub lines (services belonging to this claim) to appear
2

Claim Date

This is date of the first service on the claim.
3

Claim Group

ClaimGrp is a system generated id that is unique for each claim and is used to group the primary, secondary and tertiary insurance claims for this group of services.
The primary, secondary and tertiary claims will share the same GlaimGrp, but each will have a unique Claim #
4

Claim Seq#

Claim Seq# is assigned by the system and has values from 1 to 3, corresponding to primary, secondary, tertiary insuarnce plans for this patient's account
5

Claim #

Claim # is a unique number generated by the system to uniquely identify each claim
6

Payer Name

This is the name of the insurance payer to whom the claim will be submitted
7

Claim Type

Claim Type can have one of three possible values
E = Electronic - will be submitted electronically to the insurance company
H = Hold - Claim will be held and not billed until the Claim Type is changed to E or P
P = Paper - will be printed on a HCFA 1500 form for submission to the insurance company
8

Rebill?

Once a claim has been billed to insurance, it will not be re-billed until this is set to 'Y', which will cause it to rebill whenever electronic submission or paper claims printing is run
9

Services

This row shows the service(s) which belong to this claim
10

IsActive

Y or N - N means the service is not longer active on the patient's account
11

RemoveFromClm

Yes or No - Yes will cause this service to be removed from this claim - the service will still be on the patient's account, it just will not be billed to insurance along wiht
other services on this claim.