Send Claims Back to the Transmittal Queue

Version 14.8

Overview

During your usual billing activities, you may find it necessary to send a claim or a number of claims back out to the insurance. In order to send the claim(s) electronically, you will first need to send the claim(s) to the transmit queue. The requeuing of claims can be initiated from the patient account or the Billing Center. Additionally, you have to ability to isolate an entire batch of claims using the Claim Batch # in order to initiate a batch requeue of claims. 

Send Claims Back to the Transmittal Queue from the Patient Account

  1. Navigate to the Claims tab of the Patient Account. 
  2. Click to select the claim(s) that needs to be requeued.
Note: To highlight multiple claims for re-transmission, click on the first claim to highlight it and then hold the Shift key on your keyboard to select additional claims. If a group of sequential claims in the grid need to be selected, simply select the first claim, hold the Shift key on your keyboard and select the last claim. All claims in between the beginning and ending claim will appear highlighted.
  1. Click on the Queue Primary or Queue Secondary button as appropriate, based on whether the selected claim is being sent to the queue for submission to the primary or secondary payer. The claim(s) will now be waiting in the Transmit Queue pending the next electronic submission.

Send Claims Back to the Transmittal Queue from the Billing Center

  1. Navigate to the Claims + A/R tab of the Billing Center.
  2. Select the claim(s) that needs to be resubmitted.
Note: To highlight multiple claims for re-transmission, click on the first claim to highlight it and then hold the Shift key on your keyboard to select additional claims. If a group of sequential claims in the grid need to be selected, simply select the first claim, hold the Shift key on your keyboard and select the last claim. All claims in between the beginning and ending claim will appear highlighted.
  1. Click on the Queue Primary or Queue Secondary button as appropriate, based on whether the selected claim is being sent to the queue for submission to the primary or secondary payer. The claim(s) will now be waiting in the Transmit Queue pending the next electronic submission.

Send Entire Batch of Claims Back to the Transmittal Queue

In order to isolate claims using the Batch # in which they were transmitted, you will need to locate the Batch #. Follow the below steps to locate the batch number and send the entire batch file back to the Transmit Queue.

  1. Navigate to the Claim Status History.
  • From the Patient Account:
    1. Select the claim that was part of the batch that needs re-submission.
    2. Navigate to the Claim Status History section of the Claims window.
    3. Locate the most recent entry where "Added to batch..." shows in the Notes field. This is your Claim Batch #.
    4. Highlight the batch number and right click to select Copy or jot the number down.
  • From the Claims + A/R tab of the Billing Center:
    1. Select the claim that was part of the batch that needs re-submission.
    2. Expand the claim by clicking the small plus sign to the left of the claim #.
    3. Click the Status history radio button.
    4. Locate the most recent entry where "Added to batch..." shows in the Notes field. This is your Claim Batch #.
    5. Highlight the batch number and right click to select Copy or jot the number down.
  1. If not already in the Billing Center, navigate to the Claims + A/R tab of the Billing Center.
  2. Enter or paste the copied Batch # in the Batch # field located toward the top of the window.
  3. Click Refresh. All claims transmitted as part of that batch will show in the grid. 
  4. Click Sel All to select all of the claims.
  5. Click on the Queue Primary or Queue Secondary button as appropriate, based on whether the selected claims are being sent to the queue for submission to the primary or secondary payer. The claim(s) will now be waiting in the Transmit Queue pending the next electronic submission.