How Do I View the Medicaid Denial Reason for a Claim

Use this exercise to view the Medicaid denial reason for a claim.

Complete the following steps to finish this exercise:

  1. On the Provider Account Management pull-down menu, select the Provider Billing menu option.  A sub-menu displays.

  2. Select the Search sub-menu option.  A sub-menu displays.

  3. Select the Claims sub-menu option.  The Search Claims page displays.

  4. Select the appropriate radio button and enter filter criteria in the following fields as necessary to perform a search:

  5. Claim #

  6. Authorization #

  7. Provider Acct

  8. Last Name (Provider)

  9. First Name (Provider)

  10. Child Id

  11. Last Name (Child)

  12. First Name (Child)

  13. Check Number

  14. EFT Number

  15. Type

  16. Start Date

  17. End Date

  1. Click Search to perform a search based on the filter criteria entered.  The Claim List page displays.

  2. Click the icon in the Detail column for a specific claim.  The Claim Detail page displays.

  3. Click the Reason link in the Medicaid Denied column of the Claim Line Detail table.  The Medicaid Denial Reason page displays.

  4. View the claim's Medicaid denial reason.