Claims
Built, scrubbed, submitted and adjudicated. What the patient owes becomes a receivable in Accounting.
Where to find it
- Module: EHR
- Group: Revenue Cycle
- Section: Revenue Cycle
- Screen: Claims
Address in the console: /ehr/claims
Read-only list · 11 columns · 3 actions
This list is read-only: its records are written by the work that produces them. A correction, where one is possible at all, is made where the record was created.
What the list shows
These are the columns of the list, in the order they are drawn. Any of them can be sorted on, filtered on, hidden, or exported.
| Column | Kind | Field name |
|---|---|---|
| Claim | Code | claim_no |
| Patient | Text | patient_name |
| Payer | Text | payer_name |
| From | Date | service_from |
| Billed | Amount | billed_amount |
| Paid | Amount | paid_amount |
| Adjusted | Amount | adjustment_amount |
| Outstanding | Amount | outstanding |
| Charges | Number | charge_lines |
| Invoice | Code | invoice_no |
| Status | Status | status |
What you can do here
Build a claim primary
Build and scrub a claim
Asks for: Patient* Payer
Submit primary
Asks for confirmation: Submit this claim to the payer?
Post remittance
Post a remittance
Asks for: Paid Allowed Contractual adjustment Patient responsibility Denial code Denial reason Method Reference
* required
The rules that apply here
Everything on this screen obeys the platform rules rather than rules of its own. The ones worth knowing before you use it:
- Narrowing a list — search, conditions, sort, totals, export and saved views.
- What may be changed — the five grounds a record may not be edited on.
- Companies and business units — what the switcher above this list is doing to it.