Pending Claims

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:

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.