Statuses overview

• part of Remittance Processing

Below is defined the Status Values a Claim may have.

• No Remit – you cannot perform actions on non-remitted claims in the Apply Receipts area. To perform actions such as rebills or write offs on non-adjudicated claims, use the myAR > Outstanding Balances area.
• Paid – Claim Submission/Line is paid in full and has a $0.00 balance. 
• Denied – claim that has been denied. Claims rebilled or written off will still show as denied. Denied claims that have been Adjusted, Voided or Credited will show these statuses instead of “Denied”.
• Partially Paid – claim that has remittances applied but still has a balance. Claims written off or rebilled to the next payer will still show partially paid status.
• Overpaid – claim that has 1 or more remittances applied and the balance is less than 0. 
• Adjusted – a claim where Adjusted status is entered leading to the submission of a Claim Frequency 7 submission.
• Credited – a claim that was paid by funder, but you have created an AP credit invoice to pay back the funder via a check. 
• Pending Adjustment – a claim where Adjusted status is entered but the adjustment claim is NOT yet picked up in a billing run.
• Pending Void – a claim where Voided status is entered leading to the submission of a Claim Frequency 8 submission.
• Voided – a claim where Voided status is entered but the Void claim is NOT yet picked up in a billing run.
• Payment Withdrawn – if a payment is fully withdrawn, the submission/line will reflect this status. NOTE: for partial withdrawals of an original payment, the status will revert to Partially Paid.