On this page, you can view all claims that are in Coding Review status. These claims require additional review and action to ensure the accuracy of the charges being filed, including procedure codes and modifiers, units, and associated diagnosis codes.
To access this, click Claims > Coding Review on the left side menu.
Use the table to browse and manage claims.
Date of Service
The date on which the service was provided to the patient
Patient Name
The name of the patient who received the service
Payer
The insurance payer responsible for payment of the claim
Provider
The healthcare provider who performed the service.
Specialty
The medical specialty associated with the service, based on the provider’s area of practice.
Charge
The initial, full amount billed by the provider for the service.
Assignee
The biller currently assigned to work on the claim.
Status
Displays the current status of the claim:
New
In Progress
Closed
Approved
Deferred
Resumed
Double-click onto any of the claims to enter the Coding Review Detail Page. For more information on how to navigate that page, please refer to Coding Review Detail Page.