When claims come into Reimbursify via our integration with IntakeQ or Elation, if there are errors on the claims (missing/invalid diagnosis code(s), missing/invalid CPT code(s)/unit(s)/fee(s) they will be saved as Incomplete Claims that need to be corrected before they can be submitted for reimbursement.
If there are any Incomplete Claims for your practice that require your attention, you will see a red "!" icon and a number in a blue badge next to the Claims option in the main navigation.
You can find the claims that require corrections by navigating to the Claims page in your practice portal. Near the top of the page, if there are any Incomplete Claims you will see the "Incomplete" option (the number in parenthesis represents the number of Draft Claims that need attention).
While viewing the list of Incomplete Claims, click the "Edit" option next to the affected claims to view and correct the error(s).
The claim errors will be highlighted in red.
Make any necessary corrections to the claims and click the "Submit" button.
Some Incomplete Claims may have coding errors as well as missing insurance information. If you only correct the coding errors, but do not provide the insurance information, the claim will be saved as a Draft Claim and your client/patient will be notified via email that their insurance information is required in order for the claim to be submitted to their insurance company.
You can delete an Incomplete Claim by clicking the "Delete This Incomplete Claim" option in the upper right corner of the form.
NOTES:
Your client/patient will not receive a notification for Incomplete Claims, but they will be notified via email once they have been corrected and submitted.
Making corrections to past appointments inside your EHR system will not automatically submit the corrected claim information to Reimbursify. For past appointments that have already been ingested into Reimbursify, the corrections and resubmissions will have to be made inside the Reimburisfy Practice Portal, as described above.
After correcting the errors and submitting the claims, you should check your IntakeQ instance to see why the error occurred and make any needed adjustments in your IntakeQ instance, to prevent these errors from occurring on future claims.
One of the most common errors we see is an invalid diagnosis code. If you see this error and believe that the code you used is valid, please contact us at [email protected] to remedy the situation.