Attention By Provider & Service Date:  Attention required are provincial failed claims. Claims rejected coming close to the 3-6 month billing window should be corrected and resubmitted.  Claims that will not be paid should be written off by selecting Completed or Cancelled.

Held by Provider:  List of all held / pending claims that should be processed in the future.

Total Outstanding Billing:  List of all outstanding claims (not completed or cancelled) with their billing statuses:

  • Attention:  Provincial failed claims.  These should be corrected and resubmitted (Ready to Submit) or written off (status changed to completed or cancelled).

  • Draft:  Claims set to draft should be corrected and changed to Ready to Submit.

  • Held:  Claims held / pending that should be processed in the future.

  • Ready:  Claims will be submitted in the next billing file after which will update to submitted.

  • Submitted:  Claims submitted which should be processed in the next reconcile.

Draft By Month:  Draft claims that should be corrected and changed to Ready to Submit.

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