Pending Claims - Advanced Claim Scrubber & Denial Warnings and How to Fix

ChiroSpring Pro+ has an Advanced Claim Scrubber that will help help identify claim errors so you can fix before submitting.

If you want to upgrade from Pro to Pro+ to get our advanced claim scrubber and Billing AI Assistant, please go to SETTINGS-SUBSCRIPTION-SELECT PRO+ AND THEN APPLY PLAN IN TOP/RIGHT.

Navigate to Billing/Pending Claims.  You will see two types of errors notated with icons. 

• Fatal Errors - The claim has missing or expired information that will cause the claim to reject at the Clearinghouse
• Denial Warnings - Could result a Denial of payment or partial payment

Denial Warning

The yellow ! icon represents a claim with a warning.  This indicates there is probability this claim will result in a denial, nonpayment or partial payment.

You CAN submit pending claims with Denial Warnings.

Fatal Error

The Red X symbol indicates a claim with a Fatal Error.  This means the claim will almost certainly reject as it is missing required information.  

You CANNOT submit claims with Fatal Errors. They must be corrected first.

• You can click on the RED CIRCLE X to open up a description of the Fatal Errors
• The Wrench Icon is clickable, it will take you to the spot in ChiroSpring where you can correct that claim

• Remember to always SAVE at code level and claim level once corrected.
• Once all the Fatal Errors are corrected and there is not a Red Circle X, you can submit the claim for processing

*Denial Warnings will have a description of the warning but will not include hyperlinks to fix, you can choose to update or ignore those warnings.