Posting a Full Denial - Applying a New Insurance to a Claim

Important!: The system waits for ten days before changing a claim's status from "Denied - Full Denial" to "Denied - Denial Unresolved."

Posting the Denial

  1. To post a full denial, click Payments in the navigation bar and then click Create a transaction.

  2. On the New Transaction page, enter your deposit date.
  3. Enter the transaction amount, then enter the payer, the transaction type, transaction number, and the date from the EOB or remit.
  4. Enter the claim number.  When the claim information loads, click the Full denial button. The status of the claim changes to "Queue for submission - Patient statement."
  5. Enter a value in each of the Group/CARC fields.  The value indicates the reason for the denial and can be found on the EOB.
  6. Scroll down to the bottom of the page and verify that the unallocated amount is zero.  You can't post the denial until the unallocated amount is zero.
  7. Click Post Transaction.

After Posting - Apply a New Insurance to a Claim

After a primary payer denies payment, you can change the primary payer to a new payer.

  1. Enter the claim number in the search field. When you get the search result, click the claim number.
  2. On the Claim page > Coordination of benefits, click Edit .
  3. Click Apply a new commercial insurance.

    On the coordination of benefits tab, click 'Apply a new commercial insurance

  4. Enter the commercial insurance information and click Save changes.

The new payer displays under the original payer. The original payer name is grayed out.

Coordination of benefits tab after you add the new primary.