FAQs‎ > ‎General FAQs‎ > ‎

Why is My Claim Dropping to Paper?

posted Apr 13, 2017, 6:21 AM by Tasha lesher   [ updated May 25, 2017, 12:16 PM by Angelique Belot ]

Claims may be dropped to paper for several reasons. Review each option below to determine why claims are dropping to paper.

Step 1 - Verify if a paper CPID was sent in the claim file by following the steps below:


  1. Go to the Payer section.

  2. Open the applicable payer.

  3. Verify the CPID for the type of claim being submitted. All paper CPIDs have a second digit of a "3", for example, "4300".

                                            

Step 2 - Verify the submitter is authorized for the electronic CPID by following the steps below:


  1. Go to the Payer section.

  2. Open the applicable payer and view the Clearinghouse Information box.

  3. Under the claim type for the claim being submitted, is "Agreement Required" listed?

  1. If yes, verify the submitter is authorized by viewing the status of the Claim agreement via the Lookup tab. See step-by-step instructions here. Agreements must be in the status of Authorized for claims to send electronically.

Step 3 - Verify the Server Processing Mode for the payer is not set to The clearinghouse will print and mail the claims by following the steps below:


  1. Go to the Payer section.

  2. Open the applicable payer.

  3. If the Server Processing Mode is set to the above status, update as appropriate.