AK

📋 Page Guide

Claim History provides a complete searchable audit trail of all submitted claims. Use the advanced search and filters to narrow results by date, patient, provider, status, payer, or amount range.

  • Paid — Payment received from payer
  • Denied — Claim rejected by payer
  • Pending — Awaiting payer adjudication
  • Adjusted — Payment differs from billed (partial pay)

Click any row to open the claim detail panel. It shows full adjudication details, EOB summary, payment history, and notes. From here you can file a dispute or request re-adjudication.

Use "Export CSV" for spreadsheet analysis or "Export X12 835" for EDI-compliant remittance files compatible with billing software.

CLM-2026-08841
Full Adjudication Detail
Claim Information
Sarah Johnson
P-2024-042
Mar 10, 2026
Dr. Maria Chen
99490
E11.9, I11.9
$420.00
$385.50
BlueCross BlueShield
Paid
EOB Summary
Billed Amount$420.00
Contractual Adjustment-$24.50
Patient Coinsurance (20%)-$10.00
Payer Payment$385.50
Payment History
Mar 28, 2026 — EFT #EFT-290483817$385.50
Notes

CCM service claim. Patient consent verified. 20+ minutes documented. No issues flagged by auto-adjudication engine.

Results: 20 claims
Claim ID DOS Patient Provider CPT ICD-10 Billed Paid Status