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Encounter Reporting

Encounter submission compliance, error tracking, and resubmission management · April 2024

Total Encounters
47,284
↑ 4.2%vs last month
Submission Rate
96.4%
↑ 0.8%target: 95%
Error Rate
2.1%
↓ 0.4%improving trend
Rejection %
1.5%
↑ 0.2%713 encounters
Submission Status by Encounter Type
Professional · Institutional · Dental
Compliance Trend — 6 Months
Submission rate vs error rate
Submission Rate
Error Rate
Filter:
Encounter Records Showing 12 of 47,284
Encounter Date Provider Patient Type ICN / Claim # Status Errors
2024-04-28Dr. Sandra KimMartinez, LuisProfessional2024-0428-PRO-1842Accepted—
2024-04-28Westside FamilyJohnson, CarolInstitutional2024-0428-INS-0921Rejected2 errors
2024-04-27Dr. Robert AlmanzaGarcia, MariaProfessional2024-0427-PRO-3301Accepted—
2024-04-27Northgate MedicalThompson, JamesProfessional2024-0427-PRO-3415Error1 error
2024-04-26Dr. Sandra KimWilliams, BettyDental2024-0426-DEN-0188Accepted—
2024-04-26Valley Health CenterLee, DavidInstitutional2024-0426-INS-0722Rejected3 errors
2024-04-25Dr. Patricia MooreRodriguez, AnaProfessional2024-0425-PRO-2981Pending—
2024-04-25Northgate MedicalBrown, ThomasInstitutional2024-0425-INS-0614Accepted—
2024-04-24Dr. Robert AlmanzaDavis, PatriciaProfessional2024-0424-PRO-2201Error1 error
2024-04-24Westside FamilyWilson, MichaelDental2024-0424-DEN-0092Accepted—
2024-04-23Valley Health CenterAnderson, DorothyInstitutional2024-0423-INS-0502Rejected2 errors
2024-04-22Dr. Sandra KimTaylor, FrankProfessional2024-0422-PRO-1774Accepted—
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Page Guide

Encounter Reporting tracks the submission, acceptance, and error status of all EDI 837 encounters.

  • Use the month selector in the header to change the reporting period.
  • Click "Errors" on any row to see the detailed error modal with fix guidance.
  • Select multiple rows to enable the Batch Resubmit button.
  • Use filters to narrow down by encounter type or status.
  • Accepted: Encounter was accepted by the payer's clearinghouse. No action needed.
  • Pending: Submitted, awaiting acknowledgement (999 transaction). Allow 24–48 hours.
  • Error: Functional acknowledgement rejected this encounter. Correct and resubmit.
  • Rejected: Payer system rejected after initial acceptance — check loop-level errors.
  • Check the "Select all errors" checkbox to select all error/rejected rows.
  • Or check individual rows you want to resubmit.
  • Click "Batch Resubmit" — system will generate a new 837 transaction set.
  • Monitor the submission status column for updates within 2 hours.
  • CMS timely filing limit: 12 months from date of service for most programs.
  • AAA-42: NPI not found — verify provider NPI in directory.
  • AAA-73: Subscriber ID mismatch — check member eligibility.
  • CLM-04: Missing place of service code — add facility code.
  • DTP-435: Admission date missing for institutional claims.
  • 2300-HI: Diagnosis code sequence error — ICD-10 must have principal first.
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