Rejection & Denial Analysis (Detailed) Report/Queue

The Rejection & Denial Queue is meant to help analyze and review claim rejections and denials. It provides the ability to filter for specific payer types, payers, errors, and even billers. The data that this queue provides is quintessential to understanding rejections and denials and allows billers to identify issues easily and routinely.

To run the Rejection & Denial Queue, enter a date range. Please note that the date range of this report is limited to the last 2 years. The date range selected can be configured by the Run Report By dropdown. Users have the option to run the report by one of three different ranges:

1. Date of Rejection/Denial: Default option. Returns results based on the date of the rejection/denial.
2. Date Billed: Returns results based on the date the bill was transmitted.
3. Date of Service: Returns results based on the date of service of the bill.

The queue can also be filtered by error type, biller, payer type or payer, as well as by specific errors by typing the error code in the Error Code textbox.

This queue focuses on providing all necessary information to understand and resolve rejections and denials. It provides the following columns:

• Error Code: code associated with the error.
• Error Description: description associated with the error.
• File Type: indication of the type of error (999/277/835)
• File Level: indicates the level of error (submitter / provider / claim / line levels)
• Rejecting/Denying Payer Name: identifies the payer associated with the rejection.
• Date of Rejection/Denial: date associated with the error.
• Procedure Code: procedure code associated with the error.
• Bill Number: Bill Number, if applicable.
• Date of Service: date of service associated with the error.
• Date Billed: date of transmission for that bill.
• Biller: user who created the bill
• Resubmission Status
  • Yes = if date billed is greater than date of rejection/denial
  • No = if date billed is equal to or less than date of rejection/denial
• Loop / Line / Segment: utilized for troubleshooting with AIM Support. Identifies the exact position of the offending data that caused the rejection/denial in the transmission file.
• Current Payer Name: shows the current payer name for context.
• Current Payer Billing Status: shows the current billing status for context.
• Current Payer Accounting Status: shows the current accounting status for context.