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  1. Click Claims History

  2. Claims data is displayed according to default parameters, including Total Submitted Amount and Total Allowed Amount for each day of received claims.

  3. Enter a Client ID to search for a specific client within the given dates.

  4. Enter a Claim ID to search for a specific claim within the given dates.

  5. 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

Image Added

Pending Approval (Awaiting Action)

System

Process Payment

Image Added

Invoice History (Paid)

Provider

Corrections completed

Image Added

 

Pending Approval (Awaiting Action)
If Approver was the previous actor

 

Pending Payment (Awaiting Action)
If Payor was the previous actor

Approver

Approved by the lead agency

Image Added

Pending Payment (Awaiting Action)

Approver

Denied by the lead agency

Image Added

Invoice History (Denied)

Payor

Payment authorized by the payor

Image Added

Invoice History (Paid)

Payor

Denied by the payor

Image Added

Invoice History (Denied)

Payor

First level payment approval completed

Image Added

Pending Payment (In Process)

Payor

Submit for Payment

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Invoice History (Processed)

Approver or Payor

Provider corrections required

Image Added

Corrections Required (Awaiting Action)

Approver or Payor

In review

Image Added

Pending Approval (In Review)
If action is taken by the Approver

 

Pending Payment (In Review)
If action is taken by the Payor

Approver or Payor

Placed on administrative hold

Image Added

 

Pending Approval (Administrative Hold)
If action is taken by the Approver

 

Pending Payment (Administrative Hold)
If action is taken by the Payor

 

To Review your Pending Invoices

From the Home screen:

  1. Click view under Pending Invoices.

  2. The invoices screen will display listing your pending approval and payment invoices.

  3. Click the Search field and enter Invoice #.

  4. The invoice will display in the table.

  5. Click the Invoice Details link.

  6. Invoice Details including Services and Invoice Decisions are displayed.

(INSERT SCREENSHOT OF PENDING INVOICE DETAILS)

To Add Comments

  1. Click Add Comment

  2. Enter free text comments.

  3. Click Submit Comment

  4. Image Added

    The comment is displayed and shared with the Program Manager.

To Review your Invoice History

From the Home Screen:

  1. Click view under Invoice History

  2. The invoices screen will display listing your processed invoices.

  3. Click the Search field and enter Invoice #.

  4. The invoice will display in the table.

  5. Click the Invoice Details link.

  6. Invoice Details including Services and Invoice Decisions are displayed.

Reports

From the Overview Project screen:

  1. Click Run Report drop-down and click report.

  2. Click/Select Report Criteria.

  3. Click Run Report.

  4. Report details are displayed.