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Claim Appeals

New way to appeal claims

Updated over 2 weeks ago

Step 1 - Navigate

To appeal claims, you can navigate to

  • the Superbill

  • the Claims Manager (Billing β†’ Claims Manager)

  • the Patient's Claims β†’ Charges

  • the Patient AR (Reports β†’ AR - Patient)

Step 2 - Print Button

To start the appeal process, click the print button on the claim you would like to appeal. In this window, you will then click the appeal button and confirm to start the appeal process. This will open a new window for you to complete the appeal process.

Step 3 - Generate Appeal

To generate an appeal you will just fill out the information you need and click the generate appeal button.

To include the full clearinghouse history pulled directly from ClaimMD, select the "Include Claim History" button.

Additional supporting documents can be uploaded to the Appeal as well.

Step 4 - Finishing Appeal

Fill out all required fields on the Appeal, as well as any other fields you'd like to include.

Once you Generate Appeal, you can transmit it via the following methods:

  • Electronic submission

    • At this time, this is in Beta via ClaimMD, and is available for some payers

  • Mailed by our Clearinghouse on your behalf for an additional fee*

  • Faxed by our Clearinghouse on your behalf for an additional fee*

  • Download the Appeal packet at no additional cost and mail it yourself

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