How to Find Claims that were Not Paid

After a claim is submitted, a claim status response will be updated on the claim as either Approved, Denied, or Pended.

  • Approved means a claim was Paid.
  • Denied means that it was either partially paid or unpaid. This typically means there are issues with the claim that need to be resolved before the claim can be rebilled.
  • Pended means the claim has not yet been Approved or Denied.

The best way to find claims that are not paid in full is by using the Status Filter.

Status Filter options

  • All: This filter shows everything besides Hidden claims
  • No Status: These are claims that have not yet been billed. They may have claim errors that need to get resolved before they can be billed or they may have recently been imported.
  • Not Approved: Pended, Submitted, Denied, and No Status
  • To Submit: Denied and No Status
  • Ready, Submitted, Approved, Denied, Pended, Voided Hidden all display their current status only