eStatus Screen Element Reference

Hover over the AAA error code to view the code description.

Displays the number of request transactions containing the AAA error code.

Select the numerical value in the column to view the transaction details

Select columns from the drop-down to add to the standard columns already displayed.

Select to add an advanced filter parameter. You can add a maximum of two advanced filters. Select this again to view the specific advanced filters. Applied filters show as labels next to Advanced Filter.

Displays the cumulative adjustment amount. When navigating to the Claim Detail from the Remit Summary report, the adjustment data displays at the procedural level.

Displays the maximum amount that the payer will pay for a procedure.

Select to collapse the Reports panel

Select to expand and view the Reports panel.

Select to collapse the details and history information.

Attachment Status can also be saved as part of custom reports.

Displays the last 60 days historical average based on remit check date by payer.

Displays the associated charges for the Claim ID. If more than four, + 'x' more hyperlink displays and clicking on it shows all the associated charges.

Displays the number of claims having that warning.

Select the number to view claims having that warning.

Displays the Paid to Provider amount as shown on the respective split EOB files.

Even for non split EOB file, Claim Paid Amount displays the amount shown under Paid to Provider field in the EOB.

Displays the percentage of clean claims in graphical format:

• Red - Percentages between 0.00 - 92.99.
• Yellow - Percentages between 93.00 - 96.99.
• Green - Percentages between 97.00 - 100.

Displays the count for the total number of claim line items. Clicking on the number displays the Claim List Detail for the selected aggregate.

Eligibility Transaction Summary Report

Displays the status count for transaction requests.

Multi-select the current claim statuses and updated by from the drop-down.

Status default is Pending for Pending Claims report and Rejected for Rejected Claims report.

Updated By default is All for both reports.

Depending on which report the date selector displays as Reporting Period or Claim Submitted Date.

Displays the submit date. Select the date to view the Run Summary for that date.

Select to delete a user-defined report. Standard reports can't be deleted.

Displays the denied amount at the service level. Hovering over the ToolTip displays how the amount is calculated.

Select to open the EOB split file for the selected claim and view details on how the claim is paid by the payer.

If EOB is archived or unavailable, a message displays, EOB File is archived or unavailable. Please submit a case to EDI Support Team.

Claim Detail - Remittance Information Tab

Claim Robs - Select to open the split EOB file for the selected claim and view details on how the claim is paid by the payer.

Displays the facility name for the selected claim. This also displays in the Claim Details under the Facility Information section.

Displays Default if no filters are applied. Hovering over will show the default filters. Default filters are unique to each report.

Displays Applied if filters are selected. Hovering over will show the selected filters.

Select to expand or collapse the filter criteria. Previous searches are retained and can be added to.

Select to hide the graph from the report and expand the grid display.

Multi-select the historical claim statuses/Updated By from the drop-down.

Status default is All for both reports.

Updated By default is All for both reports.

• Claim Number (non-GM)
• Patient Identifier (GM and non-GM)
• Charge Number (GM)
• Claim ID (GM)

• Accepted & remit not received.
• Acknowledged & remit not received.
• Other claims will be ignored from CSI.

You can select up to 50 bulk claims to Initiate CSI.

Select to change the aggregators you want displayed and change the order in which they appear.

Select Yes to include the NPI. The grid then displays the NPI column.

Operators displaying vary depending on report and column.

• Contains
• Does not Contain
• Equals
• Greater than
• Lesser than
• Not Equals

Originating File Name is displayed for those files containing ‘remitupload’ or ‘remit-upl’ in the file name i.e., the files which are part of remit upload. For files which are not part of remit upload, Originating File Name is not shown.

Summary view displays claims in typical grid format. Detail view displays all the rows expanded with no option to collapse them and the export action is disabled.

Displays the sum of the deductible and coinsurance. Hovering over the amount display the break out.

Displays the Destination Payer ID. Sorting is on the payer ID.

Warnings Received Report

Displays the payers for whom the edit was setup to receive the warning. Select See All to view all the payers for the warning.

Enter an alphanumeric Payer ID up to 25 characters. This field supports autocomplete searches. You must enter at least three characters for autocomplete to display results.

Select all the standard PLB reason codes that apply under Value.

Defaults to display the last ten claims accessed by the user.

Displays the reference ID for the PLB reason code. The ID is a concatenation of the control number and HIC number.

Enter a reference ID using alphanumeric and/or special characters. This field is a concatenation of two fields: Control Number and HIC Number. To search on reference ID with Equals operator, then it needs to be entered as, for example, 20221230 03X89439322-3. 5 spaces after the first ID is important.

Displays the count of unique claims. If a claim has five reject messages the count shows as one. Select on the count to display the Claim Report for the select aggregators.

Displays report types available (those shown are based on the preference "Product Category' set for each customer in ECAdmin).

Default View

Consists of Search field and two panels:

• Report List
• Favorite List

This action displays under File information if a file is available to be requeued (user must have proper security for it to display).

Select to reset the search default values for the report in context.

Select Save when creating a new user defined report by modifying a standard report. Upon selecting Save, user is prompted to enter a new report name.

Select Update when making changes to a user defined report that you want saved.

Enter partial or full text of report. Reports containing text will display.

Displays the service location for the selected claim. This also displays in the Claim Details under the Facility Information section.

Displays the claim or remit files status.

Eligibility Transaction Summary Report and Eligibility Transaction Detail Report

Displays the count of transaction requests for a transaction request date/hour, TPA, Payer and Request Type.

Select to update the check status. The Update Check Status screen appears allowing you to update the status to R (reconciled) or H (hold). This field is greyed out until a check row is selected.

Select to manually update the status of claim to Completed.