Overview
Elation Billing includes several reports that help you track and manage claim denials. Electronic Remittance Advice (ERAs) are integrated into these reports, ensuring that denial information is accurate and up to date. From the Lightning Insights page, users can navigate to the Visualizations tab to access new denial charts that provide an overview of denial trends. These charts offer different breakdowns of denial data, such as the most common denial reasons by code or by payer. Users can take action directly from the data table by clicking on the claim counts, which opens the list in Claims Manager. From there, they can easily view claim history, the superbill, patient information, and available claim actions.
Denial reporting keeps you up to date on why claims are being denied. By spotting trends early, you can tackle issues at the source—helping improve claim acceptance and speed up payments.
Workflow Instructions
Using the Denied Claims by Payer report
Click Reports -> Lightning Insights.
Click Visualization.
Click Denied Claims by Payer.
You will see the top 10 payers with denied claims for the timeframe specified at the top of the page.
Click Show Filters at the top of the page to see and adjust filters as needed.
Click a code in the legend to exclude it from the chart—it will appear crossed out but will still show in the table below.
Click on the Claim Count # to see associated claims.
Using the Denial Reason Codes report
Click Reports -> Lightning Insights.
Click Visualization.
Click Denial Reason Codes.
You will see the top 10 denial reason codes for the timeframe specified at the top of the page.
Click Show Filters at the top of the page to see and adjust filters as needed.
Click a code in the legend to exclude it from the chart—it will appear crossed out but will still show in the table below.
Click on the Claim Count # to see associated claims.
Using the Denials Report
Click Reports -> Lightning Reports.
Click Options next to Denials Report to apply additional filters as needed.
Click Download Report -> Save as Excel (CSV).
Open the report on your computer using Excel-compatible software.
Frequently Asked Questions
Can I see more than 10 denial reason codes in the Denial Reason Codes report?
No, the Denial Reason Code report can only show the top 10 denial reasons for the timeframe specified.
Can I see more than 10 Payers in the Denied Claims by Payer report?
No, the Denied Claims by Payer report can only show the top 10 Payers for the timeframe specified.
Can I download the Denials Report as a PDF?
No, you can only download the Denials Reports as a CSV file.