Occasionally you may find that claims get stuck in the Awaiting Remittance Advice window longer than their 30 day turn around period. If Get Remittance Advices has not moved the claims to another relevant status:
- Check whether the claim has a Paid value. If the Paid value is filled in, then the Remittance Advice has been successfully retrieved but there is something else preventing the claim moving to Ready to Receipt. Often, this is because Claimed and Paid don’t match. If that’s the case, click View Processing Report and balance the items.
- Hold down Alt/ Option + click on Get Remittance Advices. Set the From and To dates initially to cover the claim period (claim date + 30 days) and check both Ready and Reported. Repeat process until you reach today’s date.