Rejected Claims

What is a rejected claim?
A rejected claim is a claim that is in a rejected status and has failed one of the following:

Billing validations - The validations that the claim goes through in Billing when the claim is prepared to be sent to the payer.
Clearinghouse validations - The validations that the claim goes through at the clearinghouse when the claim is received by the clearinghouse. This may include validations for any payer specific requirements.
Payer validations - The validations that the claim goes through at the Payer when the claim is received by the payer.

How can I tell at what point the claim failed validations?
To determine at what point the claim failed validations:

Search for claims by a Rejected status on the Claim Processing screen.
Click on the View Submission button for each rejected claim to view the rejection message and to see who rejected the claim.

Billing validation rejection - If a claim failed Billing validations, there will be a icon next to one of the following fields:

Clearinghouse validation rejection - If a claim failed the Clearinghouse validations, there will be a icon next to the following field:

Payer validation rejection - If a claim failed Payer validations, there will be a icon next to the following field:

How do I find out what to do to fix my rejected claims?

Billing validation rejections - If a claim is rejected and has failed Billing validations, please browse the Common Billing Rejections to find out how to fix the rejected claim.
Clearinghouse validation rejections - If a claim is rejected and has failed the clearinghouse validations, please browse the Common Clearinghouse Rejections to find out how to fix the rejected claim.
Payer validation rejections - If a claim is rejected and has failed the payer validations, please browse the Common Payer Rejections to find out how to fix the rejected claim.