About the Rejection Summary Report

Rejection Summary report provides detail on the claims rejected based on pre-adjudication claim edits.

The Rejection Summary reports provides detail on the claims rejected based on pre-adjudication claim edits. This report displays claims (Institutional, Professional, Dental) with the current and or historical status as Rejected. The source includes claim files from PMS, 277CA from the payer, PEdit from aEDI, 999 File Acknowledgment Files, and other proprietary payer reports. If payer returned a 277CA then it is part of the file. The default date range is the last seven days.

The results displayed are based on the selected filters and aggregators. Aggregators are a hierarchy of data elements allowing you to drill down to more specific data. The default aggregators are:
  • Category
  • Payer
  • Reason
  • Status Message
The aggregators display directly above the results table. Using Modify Aggregator, you can change the selected aggregators and change the order. Because the aggregators are drill downs, you must select the first aggregator to see the second, etc. All the results for the selected aggregators display as blue hyperlinks in the grid. Selecting one of the results in the grid then displays the next aggregator. The first column on the report displays the first aggregator selected.