Claim Production Status Report

The Claim Production Status report is generated when charges are put through the edit process. Edit happens automatically when the charge is being billed as described in Billing Encounters. The edits include checking if the charges adhere to National Standard Format (NSF) criteria, and any other contractual criteria that might be required.

The report lists out charges sorted by encounter, then 1500 or UB form type, rendering physician, payer name, insured's name, patient's name, and severity of the warning. There are no totals or additional filters for this report.

The columns are encounter number, 1500 or UB form type, patient name, severity of the warning, error message, edit source, rendering physician, payer name, insured's name, error number, claim status, NSF ID, encounter referring provider, supervisor provider, SIM total charge amount, provider NPI, and SIM (Service Item Codes).

Error, Warning, and Informational labels appear underneath the Severity column. Errors result in dirty claims that probably prevent reimbursement. Warnings do not prevent a clean claim, but might be contractual, and should still be addressed. Informational messages require no action.

You can double-click an error message to view a patient's chart.