There are a few different claim statuses that will show on the ledger under the status column.
The first letter represents the status of the treatment. By default, there are three different treatment statuses in Power Practice.
The second letter is the EDI Status which is assigned by the insurance company and users are unable to change this status without reversing the treatment and resubmitting the claim. Below are the following definitions of the different EDI statuses that the insurance companies use.
Power Practice Status Codes (First Letter)
Insurance Status Code (Second Letter)
|The Insurance Company has acknowledged receipt of the claim.
|The claim was rejected. See the claim printout for the rejection details.
|The claim has been reversed.
|The Insurance Company is set to the Batched submission method in the Insurance Company settings.
– or –
The EDI manager program isn’t running on the server (uncommon).
|There was an error while processing the claim. See the claim printout for the error details.
|Insurance company wants the claim submitted manually.
|Claim is pending review from the Ins Co. See the claim printout for more information.
|Claim is waiting and has not been sent to the insurance company yet.
– or –
EDI Manager application isn’t running.
|Explanation of Benefits
|Will show what the Insurance Company intends to pay.