To help prevent bill rejections due to incorrect claim numbers, daisyBill stores Claim Number Patterns.
Bills submitted through daisyBill are matched to the patient's claim on file with the claims administrator. The claims administrator uses the claim number and other claim information (such as the patient’s name, date of birth, and date of injury) to make that match. Following the correct claim number pattern, without omitting any digits or dashes, can reduce the chance of a rejection (an unprocessed, returned bill) or lost bills.
To view Claim Number Patterns, follow the instructions below.
Step 1. From Edit Injury Page, view the real time ‘Claim Number’ scrub
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 Claims Administrator, from the Injury Page, click ‘View claim number patterns’
- A green check indicates the Injury Claim Number entered matches a known daisyBill Claim Number Pattern.
- A red ‘x’ indicates the Injury Claim Number does not match a known daisyBill Claim Number Pattern.
Does daisyBill list every possible Claim Number Pattern?
While daisyBill strives to provide you with the most up-to-date and useful information, claims administrators regularly change things. The patterns we currently display represent the most common patterns, but may not encompass very old, brand new, or rare patterns. If you see an unfamiliar pattern and confirm it with the claims administrator, chat us in the Help Center!
What if I want to submit a bill with more than one claim number?
In short, you shouldn’t. Bills with more than one claim number have a high rate of rejection because claims administrators have difficulty matching them to one claim. We strongly recommend submitting bills with a single claim number. If you are unsure about which claim number to use, call the claims administrator or adjuster.
I’m following the pattern and my claim number is correct–but my bill got rejected anyway! What gives?
No one is perfect, and sometimes claims administrators and clearinghouses do not communicate and improperly reject correct bills. Other times, a bill is rejected because the claim is closed or has been denied, and as a result the clearinghouse will no longer accept a bill for that claim electronically. If you confirm that the claim information for your bill is correct, and that the claim is open, use the Report Error button on the Bill to let us know about it. For more information, see the Help Article: Report Error.