View Kick Reasons

athenaCollector

athenaOne for Hospitals & Health Systems

This page allows you to search for kick reasons by name, description, or claim status. A kick reason describes why a claim has not yet been paid or communicates the reason for a change in the status of an unpaid claim. Every kick reason is identified by a unique alphabetic code called a kick code.

 

On the Main Menu, click Claims. Under RESOURCES, click View Kick Reasons

 

 

 

You must have permission to view or edit claims to see this page.

 

 

 

  1. Display the View Kick Reasons page: On the Main Menu, click Claims. Under RESOURCES, click View Kick Reasons.
    The list of kick codes appears in a table in alphabetical order by kick code.
  2. Filter by — You can filter the list of kick codes by the kick code name or the kick code description.
    • Kick code — Select this option and then type all or part of the kick code name in the text field. For example, if you type "hold" in the text field, the list displays all kick codes with "hold" in their names, including HOLD, MGRHOLD, PROVHOLD, and WITHHOLD.
    • Description — Select this option and then type all or part of the kick code description in the text field. For example, if you type "appeal" in the text field, the list displays all kick codes with "appeal" in their descriptions, including CLIENTAPPEAL, PLSAPPEAL, RVW4APPEAL, SENTAPPEAL, and ZPNOAPPEAL.
  3. Claim Status — To filter the list of kick codes by claim status, click Selected and then select one or more claim statuses from the list.
  4. Click the Filter button.
    Note: You can click any column heading to sort the table by that column; for example, click the Claim Status column heading to order the table by claim status.

 

 

 

Every kick reason is associated with a claim status. Each time a kick reason is applied to a claim, the claim status may change accordingly.

 

athenaOne also maintains a database of denial codes that we received from payers. A denial code is similar to a kick code, but it originates with a payer EOB or letter, and can only be applied to claims that belong to the payer that originated it. These denial codes from the payers typically have associated messages describing the reason for the denial. athenaOne maps every denial code we receive to one of the athenaOne kick codes.

 

See Kick Codes, Kick Reasons, and Claim Rules to learn more about these concepts.

 

See Billing Follow-up to learn about claim status and who is responsible for billing follow-up tasks.

 

 

Filter by

Select the Kick code option or the Description option.

  • If you select Kick code, type all or part of the kick code name in the text field. For example, if you type "hold" in the text field, the list displays all kick codes with "hold" in their names, including HOLD, MGRHOLD, PROVHOLD, and WITHHOLD.
  • If you select Description, type all or part of the kick code description in the text field. For example, if you type "appeal" in the text field, the list displays all kick codes with "appeal" in their descriptions, including CLIENTAPPEAL, PLSAPPEAL, RVW4APPEAL, SENTAPPEAL, and ZPNOAPPEAL.
Claim Status To filter the list of kick codes by claim status, click Selected and then select one or more claim statuses from the list.
Column Headings on Results List
Kick Code

Kick code name. Every kick reason is identified by a unique alphabetic code called a kick code.
Description

Kick code description, which describes the associated problem or cause. The description is intended to help you identify the appropriate situation for using the kick code.
Claim Status

The claim status that results from selecting this kick code.
Balance Behavior

Action taken on the claim balance as a result of this kick code.

Some kick codes perform an action on a claim's balance. This column contains information about the action taken.

 

 

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