re-submitting claim

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Katee Afshar DDS

January 26, 2018 16:53

I have an unresolved claim, the insurance wants more xrays attached.  When I go to "review/edit" claim and open the attachment, the "add from document manager" does not become active to add more xrays to this claim before I can send it out again.     Please advise.

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  MK January 26, 2018 17:53 (Edited January 26, 2018 18:49)

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  Matthew Deem January 26, 2018 18:32 (Edited January 26, 2018 18:56)

  When reviewing the claim in the Unresolved Claims area, there is an information bubble next to the status. (see below).  The statuses marked with an X are the claim status that can be edited.  All others statuses you will not be able to edit them.  So if you had a claim rejected by mail or verbally with the carrier, you will have to delete and recreate the claim and then attach the images to submit to the carrier.

  

   

   

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  MK January 26, 2018 18:51

  Hi Katee,

  To my knowledge, you can't modify/edit already created claim. You need to delete this claim and resubmit a new one with all attachments. 

  MK

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  GW - Technical Writer January 29, 2018 21:14

  To clarify, you can edit claim information, including attachments, if the claim has one of the statuses mentioned by Matt. However, the status of the claim must be one that was returned electronically by the payer in response to the claim that you submitted electronically through Dentrix Ascend. As Matt explained, claims rejected by mail or by phone are not going to change the claim status in Dentrix Ascend.

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