Healthcheck: Electronic Claim Errors (EDI Rejections)

The Therabill Account Health/Healthcheck series is designed to help you get the most out of Therabill by staying on top of crucial workflows.

What?

Electronic Claim Errors are generated when the insurance or clearinghouse on behalf of the insurance rejects the claim before processing. This is typically for incorrect or missing information. 

We recommend having fewer than 5 on your account at any one time.

Why?

Once the insurance company rejects the claim, it’s your responsibility to fix the claim and resubmit. Otherwise, you won’t be paid for the visit and the claim will remain in limbo. 

We’ve put together a comprehensive knowledge base of the most common Electronic Claim Errors and their appropriate resolution to help you quickly resolve these items.

How Often?

We recommend working your electronic claim errors (rejections) Daily as shown in our workflow guide. 

Where?

1. On your Therabill Dashboard, click on the rejections within the Electronic Claim Errors section on the left.
   
   
2. On the EDI Rejection page, you can view the Error Message Received in the redbox. Additionally, if a relevant knowledge base article is matched to the error message, click on the Go to Knowledge Base link to view step-by-step resolution instructions. 
3. Once you’ve resolved the issue, you can use the Resubmit options at the top of the page.
4. Once you’ve resubmitted the claim, the error will automatically be removed from the Electronic Claim Errors list.