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Seven Reasons for Rejected e-Bills

Per the California Division of Workers’ Compensation (DWC), a claims administrator must review original electronic bills and return an acknowledgement to the provider within two working days of receipt.[1]  This acknowledgement, or 277, alerts the provider whether the bill was accepted or rejected. A rejected 277 means the claims administrator will not process the bill.

Task: Bill Failed Review

If any of the required bill fields contains an error, DaisyBill assigns the designated user a Bill failed review task. When this happens, DaisyBill does not submit the bill for payment and the bill status is Incomplete.

Task: Supporting Document Required

Once ‘Create Bill’ is clicked, DaisyBill checks for errors. If DaisyBill detects a missing Supporting Document, DaisyBill assigns a Supporting Document Required task. When this happens, DaisyBill does not submit the bill for payment and marks the bill as Incomplete.

Task: Submit Bill

If DaisyBill detects a compliant Bill that hasn’t yet been submitted, you’ll get a Submit Bill task.

Task: Rejected Bill

When a claims administrator rejects a Bill, DaisyBill assigns a Rejected Bill task to the designated user.

Task: Payment Received

When manual or electronic reimbursement is posted to a bill, DaisyBill automatically moves the Bill to Processed status, generates a Review Bill Payment task and assigns the task to a designated user.

Task: Deposit Check

When manual or electronic reimbursement is posted to a bill, DaisyBill automatically generates a Deposit Check task and assigns the task to a designated user.

Task: Lien Required

Lien Required tasks occur when a DaisyBill user determines that additional reimbursement is due and selects ‘Lien’ as the collection method. This assigns a Lien Required task to the designated user.

Task: Denial Received - SBR

When a $0 reimbursement is posted to a Second Review submission either electronically or manually, DaisyBill automatically moves the Bill to Processed status, generates a Denial Received - SBR task and assigns the task to a designated DaisyBiller.

Task: Payment Received - SBR

When an electronic or manual reimbursement is posted to a Second Review, DaisyBill automatically moves the Bill to Processed status, generates a Payment Received - SBR task and assigns the task to a designated user.

Task: Submit SBR

For a processed bill where a DaisyBill user created (but did not submit) an SBR, DaisyBill automatically assigns a Submit SBR task to the designated user.

Task: Denial Received

When a $0 reimbursement is posted to an Original Bill submission either electronically or manually, DaisyBill automatically moves the Bill to Processed status, generates a Denial Received task. and assigns the task to a designated DaisyBiller.

Report Error

DaisyBill always submits your bills compliantly.  Unfortunately we can’t guarantee that they are processed compliantly.  We’re constantly working to make things better for you and claims administrators, so if there’s a problem, use the Report Error button to let us know.

Task: Overdue Payment

When a reimbursement is not posted to the bill in the mandated timeframes, DaisyBill automatically assigns an Overdue Payment task to the designated user.

Task: EOR Missing

When a bill with Accepted status has an Overdue Processing Task, clicking the ‘In Process’ button generates an EOR Missing task.

Task: Injury Failed Review

If any of the required Injury information contains an error, DaisyBill assigns the designated user an Injury failed review task. When this happens, DaisyBill does not submit the bill for payment and marks the bill as Incomplete.

Task: Patient Failed Review

If any of the required patient demographic fields contain an error, DaisyBill assigns the designated user a Patient failed review task. When this happens, DaisyBill does not submit the bill for payment and the bill status is Incomplete.