Resubmitting Rejected/Denied Insurance Claims

1. To view the rejected or denied insurance claim, go to Billing > Insurance Claim.
2. After the claim submission, if the claim gets rejected or denied, the insurance status will be changed from “Submitted” to “Rejected” or “Denied” status.
3. If you hover on the rejected or denied status, a pop-up will appear displaying the rejection or denial reason.

4. The user can view the reasons for rejection or denial and correct the information and resubmit it.
5. View the claim form by clicking on the “View Claim” button from the dotted action menu.

6. In the claim form, edit the invalid or missed claim information based on the rejected or denied reason.
7. Once the changes have been made, click on the “Save” button to save the changes  “Globally” or “Claim Only” based on the user preference.

8. After saving the claim, the user can again validate the claim by clicking on the “Validate Claim” button.
9. Once the claim has been validated, click on the “Re-submit” button in the claim form.

10. The payment processing will be the same as what we have done for the primary, secondary, and tertiary insurances.