Resolute Billing

Claim edit workqueues have a new, more modern layout. Notably, the detailed view section of the workqueue, which appears along the bottom of the screen, has been overhauled. It now has color-coded cards with detailed information about the claims in the workqueue, which you can use to quickly assess and prioritize errors.

The detailed view section at the bottom of the screen has color-coded cards with information about the claim you have selected in the workqueue. Here's a quick overview of each card:

A. Claim Summary: This card includes basic information about the claim, including the invoice number, total charges, the payer and their mailing address, the type of bill, and whether the claim has been edited.

B. Claim Edit Workqueues: This card lists other workqueues the claim is in. Click the caret to expand the details and see when the claim was added to the workqueue.

C. Recent History: This card lists recent events, such as the claim being added to a workqueue or a comment being added to the claim.

D. System: This card has system information such as the CLP ID, the CEV ID, which claim definition file was used to check the claim for errors, and the account number.

When you open the Claim Edit Assistant there are now fewer tabs when you open a primary claim.

  • Summary: This tab has color-coded cards with detailed information about claims. These are the same cards that appear in the detailed view section of the claim edit workqueue.
  • Paper Image: This tab shows you a paper representation of the claim. Because this is a representation, if the claim is electronic, some loops might not appear because they are not required on paper claims.
  • Electronic Image: This tab shows you an electronic representation of the claim.
  • History: This tab shows the complete history of the claim, including edits, errors, and other claim events.

On the right side of the screen is a new sidebar that shows claim errors and doubles as the Claim Edit Workqueue Companion. You can click on errors to see more information and the fix instructions. 

Note: The sidebar doesn't stay open when you jump to activities in separate workspaces, such as Registration, to update coverages or fix demographic information. Because of this change, you might want to read all of the fix instructions before fixing errors. That way, you don't have to jump back to the Claim Edit Assistant activity between each step to determine what to do next. 

Sidebar Tips & Tricks: 

  • Easily filter claim errors by type—user, master file, external, and overridden—using the checkboxes at the top of the sidebar. 
  • Click Refresh Claim to easily refresh claims from within the sidebar.
  • ClickOverride to override individual claim errors. 
  • Click the arrow (drop-down) in the Claim Errors tab at the top of the sidebar to move it to a floating window. If you minimize it, you can click the Claim Errors button in the toolbar to bring it back to the forefront of your screen. 

UChart Tip Sheet Last Updated 10/7/2021

If you require additional assistance, please contact the UChart Help Desk at 305-243-5999, Option 2 or