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Advice and answers from the NikoHealth Team

Search results for:rejected
Invoice Status
REJECTED… When a claim is in a rejected status, it means that the clearing house pushed it back for an issue
Claim Rejections Report
This report details claims rejected by the clearinghouse prior to forwarding them to the payer for processing… and claims rejected by the payer for missing or invalid information prior to adjudication
Claim Rejections
Understanding Claim rejection reasons and what to do… Rejection Reasons… Entity's Postal / Zip Code Rejection
Brightree to NikoHealth: Connecting Key Terms
same DOS One invoice assigned for all payers with one DOS eClaims Invoice status = Rejected… Inbox – Incoming Electronic Fax Outbound Inbox – Outgoing ERL Invoice status = Rejected… statuses: Closed, On-Hold, Open, Pending Invoice statuses: Closed, Denied, Hold, New, Open, Rejected
Daily Billing "Check List"
these are claims that never made it to the payer to process)- Go to BILLING cue and sort by status REJECTED
Adding Payers
If the wrong Payer ID is used, claims can be rejected or never reach the Payer
Technical Requirements
integer is not the same as a Boolean; and Incorrect naming, or field type will cause the request to be rejected
Department of Labor (DOL) Claims
Claims will reject that have a PO Box for the billing provider address
User Role Descriptions
Ability to access "Claim Rejections" Report View: Claim Submission Ability to access "… Ability to access "Claim Rejections" Report View: Claim Submission Ability to access "… Ability to access "Claim Rejections" Report View: Claim Submission Ability to access "
Adding and Configuring Payer Details
This must be properly defined to avoid any clearinghouse rejections