In this article, you'll learn about our updates to:
- EHR: Calendar notification for days without active schedules
- RCM: Improved History & Notes display in Claims
- RCM: Claim Control Number shown in Claims and Remittances
- RCM: Improved algorithm for linking Claims to Remittances
Calendar notification for days without active schedules
By default, the EHR Calendar displays providers with active schedules for the selected date. With our latest update, we've introduced a notification to inform you when there are no active schedules for any of the providers on a specific date.
If you switch to a date without active schedules, a message will clarify why the Calendar appears blank and provide a link to the Practitioner Management menu. There, you can easily add or extend providers' schedules, ensuring an up-to-date setup.
Improved History & Notes display in Claims
We've revamped the appearance of the History & Notes section within Claims, offering a comprehensive view of the claim's status updates and biller notes.
Now, you can review all events related to the Claim, from its creation to submission and receipt of messages from the Clearing House or Payor. The new display provides a summary for each step, eliminating the need to click through tooltips.
For instance, for a Remittance received, you'll see all necessary details at a glance such as the Payor, Claim Control Number and concise descriptions of all adjustment reason codes:
Claim Control Number (CCN) shown in Claims and Remittances
We've made it easier for you to find the Claim Control Number (CCN) directly within Claims and Remittances.
CCN is a unique ID assigned to a claim by the Insurance Company (Payor) upon processing. It serves as a crucial identifier when billers need to resubmit a claim through submitting corrections or replacing the submitted claim altogether.
CCN now appears prominently in multiple sections:
1. If CCN was assigned by the payer in the received Remittance, it's displayed in the header of each linked claim inside the Remittance:
2. CCN is visible in the ERA/EOB Summary section right in the claim:
3. CCN is included in the Remittance details in the History & Notes section right in the claim.
4. Moreover, when submitting corrections, the system conveniently suggests all CCNs associated with the given claim in a dropdown, eliminating the need for manual search across Remittance documents:
Improved algorithm for linking Claims to Remittances
We've enhanced the linking process between received ERAs (Remittances) and corresponding claims in the system. Remedly now utilizes both the internal Remedly Claim ID (RC) and Claim Control Number (CCN).
Typically, the RC ID is used to link a claim to its corresponding ERA. Additionally, if the ERA contains a CCN, it is saved for the claim in the system.
At times, one claim may receive two consecutive ERAs under specific circumstances, such as when a payer issues a recoupment payment or applies additional adjustments to the claim. If the second ERA lacks the RC ID but contains the CCN known to the system, the later will be used to successfully link the claim to the ERA.