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CounSol User Guide

Navigation: Insurance Claims

Claim Statuses

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Whether viewing from the Claims section or any Sessions list view, being able to quickly identify the status of claims is beneficial for billing management.

 

Status Updated

Status

Color Code

Icon

Definition

Auto

Draft

Gray

claim-indicator-icon-24x24

A claim has been created, but has not yet been saved as complete.

Auto

Ready

Yellow

claim-indicator-icon-24x24-yellow

The claim has been saved as complete in the outbox and is awaiting auto-pick-up from Office Ally.

Auto

Submitted

Orange

claim-indicator-icon-24x24-orange

CounSol.com has submitted the claim to Office Ally for processing.

Auto

Acknowledged

Purple

claim-indicator-icon-24x24-purple

Office Ally has received the claim and will soon scan the claim for accurate/acceptable completion.

Auto

Accepted

Blue

claim-indicator-icon-24x24-blue

Office Ally has scanned the claim, deemed all fields to appear complete and accurate, and sent the claim on to the designated payer.

Auto

Rejected

Red

claim-indicator-icon-24x24-red

Office Ally has scanned the claim, found an issue with the claim, and can not submit the claim on your behalf.

Manual

Paid

Green

claim-indicator-icon-24x24-green

Remittance was received for the processed claim.

Manual

Re-Submitted

Gray

claim-indicator-icon-24x24

The claim was previously rejected by the payer and has been resubmitted with corrections.

Manual

Passed

Gray

claim-indicator-icon-24x24

Attention should be given to the claim by the next responsible billing person.

Manual

Pending

Gray

claim-indicator-icon-24x24

The claim is being processed by the payer and remittance is pending.

Manual

Corrected

Gray

claim-indicator-icon-24x24

Errors on the claim have been corrected. The claim is awaiting attention before being saved as Ready.

Manual

Denied

Gray

claim-indicator-icon-24x24

The claim was denied by the payer.

Manual

Modify

Gray

claim-indicator-icon-24x24

The claim is need of modification by the appropriate billing person.

Manual

Canceled

Gray

claim-indicator-icon-24x24

The claim was canceled.

 

 

 

 


 

Note: Auto Status Updates occur automatically as result of changes within the system.

Manual Status Updates are selected by you after clicking the Update Status link and making changes to reflect your billing actions.