Batches
A batch is a group of records handled together: the claims in one filing, the statements in one mailing, the rows of one imported file, or the records one bulk action worked through. Batches, under Data in the sidebar, lists them all, one tab per kind. The tab is kept in the address, so a link opens on it.
| Tab | What it lists | Batch numbers | Opens |
|---|---|---|---|
| Claim Batches | Every claim filing, electronic and paper | CLB- for an 837P file, PRB- for printed CMS-1500 forms | Claim Batches |
| Statement Batches | Every statement mailing | STB- | Statement Batches |
| Import Batches | Every file that arrived | IMB- | Import Batches |
| Update Batches | Every bulk action run on many records at once | UPB- | Update Batches |
Each tab shows how many batches it holds. Import Batches counts instead the files that need review, in amber. Every tab lists the newest batch first, 50 to a page, and its search box and filters ask the server, so they reach every batch, not only the page in view. Opening a batch puts its tab in the breadcrumb, which leads back to it.
Who Can See It
Section titled “Who Can See It”| Tab | Who sees it |
|---|---|
| Claim Batches | User and Superadmin, when the client is licensed for claims |
| Statement Batches | User and Superadmin, when the client is licensed for statements |
| Import Batches | User and Administrator, when the client is licensed for imports |
| Update Batches | User and Administrator; you see the runs you started, and an Administrator sees all of them |
An Administrator without the User role sees only Import Batches and Update Batches: claim and statement batches list patients, which only a User or a Superadmin may see.
Claim Batches
Section titled “Claim Batches”| Column | What it shows |
|---|---|
| Batch # | The batch number |
| Type | Electronic or Paper. The Type filter narrows the list to Electronic 837P or Paper CMS-1500 |
| Claims | How many claims it carries, and how many were excluded |
| Total Charge | The batch total, or a dash until it has a file |
| Status | Whether it generated, and whether it was delivered or printed |
| Created By | Who created it |
| Created | When |
The search box finds a batch by its number. Create Claim Batch creates a batch from every
Ready claim - one for the electronic claims and one for the paper ones. It is
greyed while no claim is ready, with the reason in a tooltip, and electronic claims
also need EDI settings. In test mode a banner says electronic batches carry
ISA15 = T and must not be submitted for payment.
Statement Batches
Section titled “Statement Batches”| Column | What it shows |
|---|---|
| Batch # | The batch number |
| Statements | How many it carries, and how many were excluded |
| Total Billed | The sum of its statements, or a dash until it has a file |
| Status | Whether it generated and was delivered. A failed delivery adds its reason |
| Mailed | The day the envelopes were mailed, or Not recorded |
| Created | When |
The search box finds a batch by its number. Create Statement Batch batches every Ready statement; it is greyed while nothing is ready to send.
Import Batches
Section titled “Import Batches”| Column | What it shows |
|---|---|
| Batch # | The batch number |
| File | The file that arrived |
| Type | Charges for a CSV, HL7 or 837 file, Remittance 835, or Acknowledgment for a 999, TA1, 277CA or 277 |
| Rows | The rows in the file, and how many are held for review |
| Status | Pending, Processing, Completed, Needs Review or Failed |
| Imported | When the file arrived |
The Type filter narrows the list to Charges, Remittances 835 or
Acknowledgments. The search box finds a file by part of its name or by its
batch number, with or without the IMB- and the zeros. An Administrator uploads a
file with Upload File, and re-runs a failed one from its row menu.
Update Batches
Section titled “Update Batches”| Column | What it shows |
|---|---|
| Batch # | The batch number |
| Action | The action and the records, such as Check claims |
| Records | How many records it covered |
| Result | What happened, such as 40 skipped |
| Started By | Who started it |
| Started | When |
The Records filter narrows the list to Claims, Work Items,
Patients or Setup Tables (providers, insurance plans, rules, contract
rates and fee schedule prices). The search box finds a batch by its number, or
by words from its action, such as check claims. An update batch starts from a
list’s selection bar, a table import, a batch page or a rule save.
States
Section titled “States”- No claim batches yet. Create one from the ready claims.
- No statement batches yet. Create one from the ready statements.
- No import batches yet. Upload a file to get started.
- No update batches yet. They appear when you run a bulk action from a list.
- No results match your filters. - a search or filter left nothing, with Clear Filters.
- EDI settings not configured - Claim Batches says “Electronic claim batches can’t be created until EDI settings are configured.” with an EDI Settings link.
- No import purge is scheduled - shown to an Administrator on Import Batches, with a link to schedule one.
- Read-only mode - Create Statement Batch is not shown.
- Blocked - a tab whose module is not part of the plan is left out; Update Batches is always there. A saved link to a batch whose module is not part of the plan says so.
Related: Claims · Statements · Import Mappings