Processing dismissed claims

A dismissed claim is an unresolved claim that has been moved from the unresolved claims list to the dismissed claims list.

To process a dismissed claim

1. On the Unresolved Claims page, clicktap the Dismissed Claims tab.

   

   Notes:

   • Ascend Academic excludes dismissed claims from the total number of overdue insurance claims and the total amount of the charges for those claims.

   • The claims are grouped by insurance plans, which display as expandable and collapsible sections. You can expand a plan to view the corresponding claims.

   • To list only rejected claims, set the Show only rejected claims toggle to On. If you clickedtapped the Rejected count on the Unresolved Claims widget, this toggle defaults to On.

     

   • To quickly navigate to the Denti-Cal Reports tab of your location's inbox, clicktap the Denti-Cal Reports link.

     

2. Select a claim.

   

   The claim options become available.

   

3. Complete any of the following as needed:

   • ClickTap the Visit carrier page link to view or update the insurance carrier's information.

   • ClickTap Review/Edit to view the claim. In the Claim Detail window, make any necessary changes and clicktap Save.

   • Enter any relevant Notes.

   • To move the claim from the Dismissed Claims tab to the Unresolved Claims tab, select the Move to Unresolved Claims check box.

   Note: For an electronic claim submission, Ascend Academic transmits separate service lines for identical procedures on the same claim. For the known carriers, such as Medicaid and Blue Cross/Blue Shield, that require a single line with a quantity value for identical procedures on the same claim, claims are processed accordingly through the clearinghouse. If you receive a notice from a payer, stating that a quantity value is required for identical procedures, contact Ascend Academic Customer Support with that information so the needed functionality can be provided.

4. If you have entered notes or flagged the claim to be moved, clicktap Save.