The Pending Claims area of the Batch Insurance Payment Entry dialog box provides you with a lot of flexibility. From the Pending Claims area, you can do the following:
Split primary insurance claims
View claims in the Document Center
The Pending Claims list consists of 11 columns:
Date - Shows the date the insurance claim was sent or the date it was created.
Subscriber Name - Shows the name of the subscriber attached to either the insurance or the EOB claim.
Subscriber ID - Shows the subscriber's ID attached to either the insurance or the EOB claim.
Patient Name - Shows name of the patient attached to either the insurance or the EOB claim.
Birth - Shows the birth date of the patient attached to the insurance claim.
Pri/Sec - Shows whether a Dentrix claim is primary or secondary and has been paid, modified, or not found.
Pri Pmt or Sec Pmt - Indicates the claim has not been paid.
Pri Pmt ++ or Sec Pmt ++ - Indicates the claim has been paid.
Pri Adj or Sec Adj - Indicates the claim has been modified.
? Pmt or ? Adj - Indicates a claim or an adjustment, respectively, cannot be found.
eStatus - Appears blank for all listed claims when you select check payment type. If you select electronic payment type, shows the status of an EOB:
Not Found - A Dentrix claim cannot be found for the EOB claim.
Invalid - The EOB claim is for a primary or secondary adjustment, and the Dentrix claim for the EOB claim has not been paid.
OK - Post - The EOB claim and its corresponding Dentrix claim are in the database.
Billed Amt - Shows the total of the Dentrix claim.
Est Ins - Shows an estimate of the insurance payment for the procedure.
Paid/Adj - Shows the total of the claim less any adjustments that you applied. Appears blank for all listed claims when you select Check under Payment Type.
Sec - Indicates whether a patient's secondary insurance is attached to the claim.