Billing Overview - Response Reader

Go to Billing > Response Reader.

Files Tab

This is where it will display the Clearing House and Payer acceptance and rejections.

A few reasons are:

1. Insurance Rejections
2. Insurance Acknowledgements
3. Basic Claim Status Report
4. Clearinghouse Acknowledgements
5. Insurance Acceptances
6. Batch Summary (Rejections and Acceptances)
   
   

999 Tab

File response from the clearinghouse.

Displays 999 files received from the clearinghouse.

Receives responses at the batch level.

States whether a batch was accepted or not (three possible responses):

1. Accepted
2. AcceptedWithErrors
3. Rejected
   
   

277 Tab

File response from the clearinghouse.

Displays detailed descriptions of the individual claims in the 999 files received from the clearinghouse.

Displays the breakdown of the claims in each batch.

To view the individual claims:

1. Right-click on the desired batch located in the table on the left-hand side of the window.
2. Select “Add”.
3. The individual claims that correspond to the selected batch are now displayed in the table on the right-hand side.

States whether an individual claim was accepted or not (two possible responses):

1. Highlighted in GREEN: Accepted
   
    
2. Highlighted in RED: Rejected