Claim history gives a view of all submitted claims. Claims are ordered in the descending order of the claim date.

Search Filters of Claims History

Image 1

Search Filters: Claim Date, Insurance, Claim#, DOS, Patient, claims receiver, Insurance Level, Legal entity, provider, payer claim#, claim batch type, interchange#, clearinghouse status, payer status, line status, line sub status.

Sort Options: Claim Date, Claim#, Insurance, Patient last name.

Column Filters: All columns except date, amounts, and number fields have filters to narrow down the search results. Filter applied for status code with value ‘a1’ is illustrated in Image 3.

Image 2

Output Options: PDF  and Excel format

Important Columns in the Claims History screen

Column Description
Claim Date  The date on which the claim was generated
Insurance  Name of the Insurance
Level P-Primary
S-Secondary
T-Tertiary
Claim# System-generated unique number for the claim
Payer Claim#  
Batch# The unique number of the batch in which the claim was sent
Patient Name of the patient in the claim
Accession#  Accession# number of the patient
MR# MR# of the patient
INS# Member ID provided by the insurance for the subscriber
Last Line Activity Date The date of the previous line activity in the claim
Last Activity Describes the previous action that was done on the claim
DOB Date of Birth of the patient
DOS Date of Service provided in the claim
Amount Billed Amount in the claim
Previous Claim# Claim# of the preceding claim that was sent for the same encounter
Claim status

Internal: status of the claim within the practice

Clearinghouse: status of the claim at the clearinghouse 
Code: Rejection Reason code

Payer: status at the payer end
Code: Rejection Reason code

Clearinghouse Response Response from the clearinghouse regarding the claim
Payer Response Response  from the payer regarding the claim: Max size is 4000 characters
Encounter Claim Activity A log of previous claims that were sent on the same encounter
Worked Indicates the claim has been worked on.

Table 1

Sample output in the Claim History Tab