Claims Statuses in Tops Ortho


Tops Ortho has new Claims statuses as a result of our transition to DentalXChange. Here is what each status means!

  • Open: A claim that has been sent and has not been marked as paid, closed or voided.
  • Paid: A claim to which the practice has attached a payment.
  • Closed:
    • A claim that the practice closed manually, or
    • A claim that closed automatically because the Employer Policy was designated "Billing Only."
  • Voided: A claim that the practice voided manually.
  • *Payer Accepted: eClaims status - DentalXChange has received the claim and submitted it to the payer.
  • *Clearinghouse Rejected: eClaims status -DentalXChange has rejected the claim due to missing/incorrect information.

*The Payer Accepted status and the Clearinghouse Rejection status are considered "Open" statuses, so claims with these statuses will appear in the Open Claims Only filter of the Claims Matrix.

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