Viewing the Rejection Summary Report
Rejection Summary report provides detail on the claims rejected based on pre-adjudication claim edits.
- Select the eStatus tab.
- Select Claims from the Reports tab.
- Select Rejection Summary Reports.
- Select Rejection Summary.The report displays with default search criteria data displaying.
- Select Filter Options to enter specific search criteria.
- Select Advanced Filter to further refine the search criteria.
- Select Current or Historical and Current. This will filter rejections on either just current rejections or claims that have previously been rejected as well.
- Select Filter.Records matching the entered search criteria display.
- Select Modify Aggregator to change or re-order the aggregators.
- Select OK to save changes to aggregators.Records matching the entered search criteria display.
- To drill down using the aggregators
- 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.
- Select a count (this number reflects the number of unique claims/reject messages ) in the Rejections column to view the Claim Report.
- Select a claim from the Claim No. column to view to view the Claim Detail.
- Select Export to download grid results.