Tab Controls

Located at the bottom of each tab throughout the Claim Entry process are a few controls, which are helpful when navigating through the process.

/  When available, these controls will navigate you back to the previous tab or forward to the next tab as visually indicated at the top of the page.

 All claims that have not been Batched or Sent may be deleted. Deleting a claim will remove all references to this claim from the system. There is no way to recover this information once you have confirmed the deletion. The button is available on claims that have not been Batched or Sent for processing.

 If a claim has been submitted for processing, either through ePACES or another source, and it is necessary to stop processing, you must void the claim to prevent payment. Voiding the claim requires the population of the Claim Original Reference Number to allow the Payer to identify and cross-reference the claims. The button is available only on claims that have been Sent for processing. The newly created claim will have a Submission Reason of "Void" and the original claim will have an Entry Status of "Voided".

 Similar to a voided claim, there may be a need to edit or revise a claim once it has been submitted for processing. This would require you to create a Replacement Claim by clicking this button and entering the Claim Original Reference Number to allow the Payer to identify and cross-reference the claims. The button is available only on claims that have been Sent for processing. The newly created claim will have a Submission Reason of "Replacement" and the original claim will have an Entry Status of "Replaced".

 Saving the claim in a draft form is a convenient way to allow a user stop midway through the claim entry process, due to the need to collect further information or a simple distraction, without losing any of the information that has already been entered. Saving the claim as a draft will also prevent the claim from potentially being submitted in error. A claim that has an entry status of Draft does not go through any sort of validation but the user has the option to resume claim entry at a later time. The button is available on claims that have not been Batched or Sent for processing.

Clicking the Edit Claim button will generate a new claim with a Claim Submission Reason of "Original". You may then make any edits necessary to the new claim and it does not require the Claim Original Reference Number to be populated. These new claims will go through the standard validation, batching, and submittal process to be sent to the Payer.

 If validation errors were discovered upon completion of the claim, returning to the table of errors during the editing process may be beneficial. The errors displayed on the page are valid as of the date stamp and therefore are not impacted by any corrections or changes you may have done. You must revalidate the claim by clicking Finish in order to display the current and accurate set of errors, if any exist.

 If at any time during the Claim Entry process, you feel you have completed all the necessary information and would like to save and validate the claim, making it eligible for the next batch, clicking this button will do so. The button is available on claims that have not been Batched or Sent for processing. If errors are found, a page will be displayed with a list of the location and description of the error.

 Clicking Cancel at any point during the Claim Entry process will return you to the previously saved version of the claim, deleting any information entered since the last save. Claim information is saved upon transition from tab to tab. The button is available on claims that have not been Batched or Sent for processing.