Regenerating claims

If a claim has been rejected either by the clearinghouse or the payor, you will need to regenerate the claim in ChiroUp. 


Here's how to regenerate claims: 

1) Select the Billing tab located in the left-side panel and navigate to Claims. 

Note: Only claims within the Rejected status can be regenerated. Claims in the Submitted, Received, and Denied status can be switched manually to Rejected status. 

 

2) Either select individual claims or a batch of rejected claims to work. 

3) After opening up a claim, select your claim generation form type. 

Users can regenerate claims in three different forms: 

  • Original: generate if the payor did not receive the original claim or if the payor specifically requests it in their rejection code
  • Replacement: generate if an element of data on the original claim was not originally sent or needs to be corrected
  • Voided claim: generate to eliminate the previously submitted claim when identifying elements change

Additionally, enter the Payor Claim Control #. This number is found at the bottom right corner of the claim screen. 

4) You can then either re-test or submit the claim. 

 

5) After submitting the claim, a new claim form will be downloaded and the claim will move back into Submitted status. 

If you use TriZetto Integrated Clearinghouse, then your claim will automatically send to TriZetto! 

Was this article helpful?

Have more questions? Contact us