Viewing the Rejection Summary Report

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

  1. Select the eStatus tab.
  2. Select Claims from the Reports tab.
  3. Select Rejection Summary Reports.
  4. Select Rejection Summary.
    The report displays with default search criteria data displaying.
  5. Select Filter Options to enter specific search criteria.
  6. Select Advanced Filter to further refine the search criteria.
  7. Select Current or Historical and Current. This will filter rejections on either just current rejections or claims that have previously been rejected as well.
  8. Select Filter.
    Records matching the entered search criteria display.
  9. Select Modify Aggregator to change or re-order the aggregators.
  10. Select OK to save changes to aggregators.
    Records matching the entered search criteria display.
  11. To drill down using the aggregators
  12. Click a result in the first column (the first aggregator) to drill down and view more data from each aggregator.
    If there are four aggregators: Reason Category, Payer, Reason, and Status Message selecting a Reason Category in the first column will then show the Payer results for that Reason Category. Selecting a Payer from the column then shows the Reason for that Reason Category and Payer, etc.
  13. Select a count (this number reflects the number of unique claims/reject messages ) in the Rejections column to view the Claim Report.
    1. Select a claim from the Claim No. column to view to view the Claim Detail.
  14. Select Export to download grid results.