We are currently updating the OP Help Center content for the release of OP 14.19 or "OP 19". OP 19 is a member of the certified OP 14 family of products (official version is 14.19.1), which you may see in your software (such as in Help > About) and in the Help Center tabs labeled 14.19. You may also notice that the version number in content and videos may not match the version of your software, and some procedural content may not match the workflow in your software. We appreciate your patience and understanding as we make these enhancements.

View Clearinghouse Claim Acknowledgements and Rejections

Version 14.19

Overview

Claim Acknowledgments and Rejections are displayed in OP if your office has a supported clearinghouse and your claim Acknowledgment reports were downloaded into OP via the Fetch and Process functionality.

Viewing Clearinghouse Claim

  1. Click the Billing tab > Billing Center button to open the e-Billing center. 
  2.  Click on the Claims (A/R) tab. 
  3. Click on the Stage dropdown and select to view Acknowledged by clearinghouse, Acknowledged by payer, or Rejected/Denied.
Note: Claim Acknowledgment status is also displayed on each claim in the Cat column.

  1. Select Status History as the Details option located directly above the claim grid, then click on the Plus sign to the left of a specific claim to expand the claim details section and view Status History.  

  1. This will allow you to view the status date, category, notes, etc. pertinent to a specific unpaid claim. 

The window will display all claims according to the stage selected. By making the appropriate selections on this screen, you can isolate your view by:
  • stage
  • category
  • batch #
  • has insurance balance
  • has patient balance
  • payer
  • provider
  • date range
  • location
Version 14.10

Overview

If your office has a supported clearinghouse and your claim audit reports were downloaded into OP via the Fetch and Process functionality.

Viewing Clearinghouse Claim

  1. Click on Billing button to open the e-Billing center. 
  2.  Click on the Claims + A/R tab
  3. Click on the Stage drop down and select to view Acknowledged by clearinghouse, Acknowledged by payer, or Rejected/Denied.

  1. Select Status History as the Details option located directly above the claim grid, then click on the Plus sign to the left of a specific claim to expand the claim details section and view Status History.  

  1. This will allow you to view the status date, category, notes, etc. pertinent to a specific unpaid claim. 

The window will display all unpaid claims. By making the appropriate selections on this screen, you can isolate your view by:
  • stage
  • category
  • batch #
  • has insurance balance
  • has patient balance
  • payer
  • provider
  • date range
  • location