Outstanding Insurance Claims

The claims sent for the patient but not yet paid by the carrier. The patient name is displayed for clarity. Click the … button to quickly change patients while remaining in this module.

• DOS Date: Date of Service.
• Sent Date: Date the claim was sent.
• Claim: Primary vs. Secondary insurance.
• Status: The status of the claim.
• Subscriber: The name of the insurance subscriber.  This is not necessarily the name of the patient.
• Carrier: The name of the insurance plan carrier from whom payment is expected.
• Type: Type of insurance –Dental or Medical.
• Office: The office that originated the claim.
• Bill: Billing Order
  • D: Primary Dental
  • DD: Primary and Secondary Dental
  • M: Medical
• Provider:  The provider that is associated with the claim.  The Provider ID is established in the Provider Setup tool.
• Charges: Total charges for the claim.
• Est Ins (Estimated Insurance): The estimated portion of the claim to be paid by the insurance carrier.
• Ded Used (Deductible Used): The amount charged toward the patient’s deductible.
• Ins Paid (Insurance Paid): The amount paid by the insurance to date for the claim.
• Ins Adj (Insurance Adjustments): The amount of adjustments made to the claim.
• Rem Amt (Remaining Amount): The amount remaining to be paid on the claim.