On this page, you can view all claims for which EOBs have not been posted within a reasonable waiting period. These claims require review, and the EOBs many need to be posted manually.
To access this, click Claims > EOB Posting 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.
Member ID
The insurance member identification number.
Charge
The initial, full amount billed by the provider for the service.
Assignee
The biller currently assigned to work on the claim.
EOB Category
This section shows the different types of claims that appear in EOB Posting, along with the conditions under which they are included for your reference.
Primary No Response
Appears 45 days (60 for worker's comp) after the primary claim was sent with no response received.
Primary Paper Payer
Appears 45 days (60 for worker's comp) after the user-entered submission date for paper claims with no response received.
Secondary No Response
Appears 45 days (60 for worker's comp) after the primary EOB was received with no response from the secondary payer. This is when primary payer is Medicare.
Secondary No Response After Sending Secondary Claim
Appears 45 (60 for worker's comp) days after the secondary claim was sent with no response received. Note: Our system will automatically send the secondary claim when primary payer is not Medicare.
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 EOB Posting Detail Page. For more information on how to navigate that page, please refer to EOB Posting Detail Page.