To help prevent bill rejections due to incorrect claim numbers, daisyBill stores Claim Number Patterns.
Bills submitted through daisyBill are matched to the patient claim that the Claims Administrator has on file. The Claims Administrator uses the claim number and other claim information to make this match, including:
- Patient name
- Date of birth
- Date of injury
Following the correct claim number pattern – with all correct digits and dashes – reduces the chance of a rejection (an unprocessed, returned bill) or a lost bill.
To view Claim Number Patterns, follow the instructions below.
Step 1. From the Injury page, under ‘Injury Information — Required’, enter a Claim Number
daisyBill scrubs each Claim Number to detect a known Claim Number Pattern.
- If the Claim Number matches a known Claim Number Pattern, daisyBill displays ‘Matches known Claim Number Pattern’.
- If the Claim Number does not match a known Claim Number Pattern, daisyBill displays ‘Does not match a known Claim Number Pattern’.
Note: A Claim Number that does not match a known Claim Number Pattern will not prevent bill submission.
Step 2. For a complete list of ‘Claim Number Patterns’ for the selected Claims Administrator, click the ‘i’ icon
Frequently Asked Questions
Does daisyBill list every possible Claim Number Pattern?
While daisyBill works to provide the most up-to-date information, Claims Administrators regularly make changes. The Claims Number Patterns daisyBill displays represent the most common ones, but may not include very old, brand-new, or rare patterns.
If you find an unfamiliar pattern and confirm it with the Claims Administrator, let us know via the Help Center.
What if my injury has more than one Claim Number?
In most cases, a single Injury should have only one Claim Number. If more than one exists, a ‘master’ Claim Number typically covers all associated claim numbers.
Contact the adjuster for the correct Claim Number to use when billing.
What if I am following the Claim Number Pattern correctly, but my bill still gets rejected?
There are a few possible reasons:
- The Claims Administrator and the clearinghouse failed to communicate properly, resulting in the rejection of a valid bill.
- The claim is closed or denied, and the clearinghouse no longer accepts electronic bills for that claim.
If the claim information is correct and the claim is open, use the Report Error button on the bill to notify our team. For more information, see the Help Article: Report Error.