...
Click Claims History
Claims data is displayed according to default parameters, including Total Submitted Amount and Total Allowed Amount for each day of received claims.
Enter a Client ID to search for a specific client within the given dates.
Enter a Claim ID to search for a specific claim within the given dates.
Enter a Provider Claim Number (PCN) to search for a specific PCN within the given dates.
Project Tracking Items
User Group | Action | Invoice Moves To… Status (Sub-status) |
---|---|---|
System | Invoice Generated | Pending Approval (Awaiting Action) |
System | Process Payment | Invoice History (Paid) |
Provider | Corrections completed
| Pending Approval (Awaiting Action)
Pending Payment (Awaiting Action) |
Approver | Approved by the lead agency | Pending Payment (Awaiting Action) |
Approver | Denied by the lead agency | Invoice History (Denied) |
Payor | Payment authorized by the payor | Invoice History (Paid) |
Payor | Denied by the payor | Invoice History (Denied) |
Payor | First level payment approval completed | Pending Payment (In Process) |
Payor | Submit for Payment | Invoice History (Processed) |
Approver or Payor | Provider corrections required | Corrections Required (Awaiting Action) |
Approver or Payor | In review | Pending Approval (In Review)
Pending Payment (In Review) |
Approver or Payor | Placed on administrative hold
| Pending Approval (Administrative Hold)
Pending Payment (Administrative Hold)
|
To Review your Pending Invoices
From the Home screen:
Click view under Pending Invoices.
The invoices screen will display listing your pending approval and payment invoices.
Click the Search field and enter Invoice #.
The invoice will display in the table.
Click the Invoice Details link.
Invoice Details including Services and Invoice Decisions are displayed.
(INSERT SCREENSHOT OF PENDING INVOICE DETAILS)
To Add Comments
Click Add Comment
Enter free text comments.
Click Submit Comment
The comment is displayed and shared with the Program Manager.
To Review your Invoice History
From the Home Screen:
Click view under Invoice History
The invoices screen will display listing your processed invoices.
Click the Search field and enter Invoice #.
The invoice will display in the table.
Click the Invoice Details link.
Invoice Details including Services and Invoice Decisions are displayed.
Reports
From the Overview Project screen:
Click Run Report drop-down and click report.
Click/Select Report Criteria.
Click Run Report.
Report details are displayed.