User Guide — Claim Acceptance / Rejection Reports

 

The "front-end claim reports" or "acknowledgment reports" provide essential information that athenahealth needs to ensure that your claims are entering payers' adjudication systems. Most payers send these reports to athenahealth in electronic form, but sometimes payers send these reports directly to your practice instead. athenahealth uses the reports to:

• Update your system
• Place rejected claims in their proper buckets
• Add rejection notes

When claims are rejected for reasons that athenahealth can address (for example, claim format errors), we correct the claims and resubmit them according to our standard process.