Resubmitting claims

You can resubmit a claim, such as when an insurance company does not receive a claim or an error on a claim needs to be corrected before the payer rejects the claim. Any changes made to the claim will be sent with the resubmission.

Notes:

• For information about resubmitting a claim after a partial or zero-dollar payment was posted for that claim, see the topic about resubmitting a claim after posting a partial insurance payment.

• Editing and resubmitting claims requires the "Edit Insurance Claims" and "Send Insurance Claims" security rights.

To resubmit a claim

1. Click (or tap) a sent claim on one of the following pages:

   • The Sent Claims page.

     

     Note: Claims are sorted by their dates of service (oldest to most recent).

   • A patient's Insurance Claims page.

     

   • A patient's Ledger page.

     

   Note: A sent claim that has not been rejected can have any of the following statuses: Sent, Paid (the payment was sent by the carrier but not received by your office), Accepted, Pending, Queued, Printed, Resubmitted, Settled, or Attachment Hold.

   The Claim Detail dialog box appears.

   

2. Do any of the following as needed:

   • On the Claim Info tab, make any necessary changes.

     

   • On the Attachments tab, add or correct any attachments as needed.

     

3. Click (or tap) Resubmit. This button is not available if the claim has a Queued status.