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Invoice Status

Understanding what an Invoice Status means

Updated this week

When invoices are generated or manually created, they fall into a certain status depending on your payer rules.

NEW

All payer rules have been validated


HOLD

There are payer rules to review (if you have payer rules setup and the items/services fall into those rules and there is an issue, you will have to review)


SUBMITTED

The Claim has been submitted/sent to the payer. Claims will automatically get this status if you submit the claim via NikoHealth. If you submit the claim manually, you will have to change the status manually as well.


OPEN

Once a payment has been applied to a claim, it will automatically update to the open status. You want to make sure you are checking that any claims in an open status where it's still showing an insurance, this means it may still need to be submitted to a secondary policy on file. Otherwise it should show open to the patient.


REJECTED

When a claim is in a rejected status, it means that the clearing house pushed it back for an issue. There can be many different reasons for a rejection.


DENIED

If you are setup to receive ERA/EOBs through NikoHealth, a claim can show up denied when the payer remits a denial on the invoice.


VOID

The only way your invoice will show as a void claim is when it is manually changed that way. Once voided it will not show up in any patient's balance due.


CLOSED

When the balance on the invoice has been paid off or shows as zero, the claim will change to closed.

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