Glossary

ClaimPod Terms

Words that mean something specific here, which nobody arrives already knowing.

Client - one practice or billing entity. Every screen shows one client’s data, chosen in the sidebar switcher. See Clients.

Finding - something a review rule flagged on a claim or remittance, attached to the exact field it concerns. Findings block a claim from becoming Ready.

Import review - the stop a row makes when ClaimPod cannot resolve it alone. The row waits as a work item and reaches your data only once a person decides.

Mapping template - the translation from one file shape into patients, visits and services. Built once per source, reused by every run from it.

Readiness - whether a visit has everything a claim needs. The visit page lists what is missing.

Run - one file being processed. Runs carry counts of what imported, what went to review, and what was rejected.

Staging - where imported rows are held and validated before touching live data. Nothing in staging is real yet.

Work item - one thing needing a human decision. Items live in queues and are worked one at a time.

Work queue - a collection of work items, usually named for what produced them.

Industry Terms

Standard billing vocabulary, listed for reference rather than instruction.

835 - the electronic remittance advice a payer sends describing what it paid and why.

837P - the professional claim file format ClaimPod produces for submission.

A/R aging - outstanding balances grouped by how long they have been outstanding.

CARC - claim adjustment reason code, the payer’s reason for paying differently than billed.

CPT - the procedure code set describing what was performed.

ICD-10 - the diagnosis code set describing why.

MRN - medical record number, the practice’s own identifier for a patient.

NPI - national provider identifier.

RARC - remittance advice remark code, supplementing a CARC with detail.