Claims Matrix FAQs

Visit Matrix > Claims for a comprehensive view of your claims! Visit this report daily to e-File or print claims, address unpaid claims, and to find claims needing more information. Here are some commonly asked questions about the Tops Ortho Claims Matrix.

Why can't I see my Unpaid Claims?

• Don't worry; you still can! When you select the Unpaid Claims filter in the Claims Matrix, Tops Ortho defaults to showing you the claims in Rejected by Clearing House status. This is because these claims require your prompt attention.
• To see all of your Unpaid Claims, set the filters from left to right to:
  • Unpaid Claims
  • All Offices (or the office of your choice)
  • All Submission Values
  • Open Claims Only

What do the symbols in the second column mean?

These are indicators of claim type:

• A dot indicates an Initial Claim
• A diamond indicates a Pre-Estimate/Pre-Determination Claim
• No indicator present indicates a Periodic or Date-range Claim.

What do the yellow caution signs in the third column mean?

• The yellow caution sign will appear when the claim contains missing or incorrect information.
• Hover over the yellow caution sign to learn more about the missing/incorrect information.
• See related articles EClaims with Rejected by Clearing House Status and Common eClaim Rejection Reasons for more details.

Can I view this report by Insurance Company?

• Yes! Simply click the up/down arrow icon on the Employer heading and select Insurance instead.
• Click the Insurance heading to group Insurers together.

What information pulls in the Notes column?

• This column displays what is typed in the Internal Notes for this Claim field.
• To view or edit this field, right-click on the claim and select Edit Claim.