View claim details

The claim details page of Axiom Contract Management provides an easy-to-use interface that allows you to view all information associated with a claim. Click the tabs to navigate to various sections of the claim.

Above the row of tabs is a line of links to related information:

  • View Voucher – Click this link to open a new browser tab containing the Claim Voucher Report. The Claim Voucher Report provides an explanation of exactly how the system arrived at the expected payment, and how much the payer has paid. This information is ideal for follow-up with the payers to ensure proper payments are being received. Additionally, the voucher displays any line item modifiers that affected the reimbursement calculation.

  • Recalculate – Click this button to recalculate the current claim. For more information, see Recalculate a claim from Claim Detail.

  • Go to Contract – Click this link to open the contract’s clause or term page to which the claim applies in a new browser tab. Additionally, the specific contract clause is highlighted, as shown in the following example.

  • Grouper Edits – Click this link to detail all APC and eAPG edits. This is important when determining why a Medicare claim has an expected payment = $0. In Axiom Contract Management, if there is an edit on a line item (code, modifier, etc.), the system automatically pays the claim at $0. This helps you easily identify claims that can potentially be fixed and re-billed for a higher total redemption from Medicare. Following is an example of Grouper Edits for APC ICD9 Code edits. For more information, see View Grouper Edits for a claim.

See also