How to read Payor Claim Data Reports

The Medical Industry is constantly changing and RelayHealth is no different. As of September 8th 2008 you will find new changes to your Payor Claim Data Report and Payor Report Data Files which should benefit medical billers in general.

RelayHealth has supplied the Payor Claim Data Report and Payor Report Data Files since November 2006. For those clients who use these reports find they are beneficial in early identification of claim denials and claim acceptances.

All Payor Claim Data Report and Payor Report Data File Codes:

A = Accepted Medical Claim
F = Acknowledged and/or Forwarded

E = Remittance Information

I = Request for Additional Information

M = Informational Messages

P = Pended

R = Rejected

U = Unknown

Z = Zero Payment Claim

For those who are not sure where to find these codes on the report please click on the picture to view a sample of the Payor Claim Data Report which shows claims accepted and excluded.

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