Claim Process
1
1 Draft – Work in Progress Claim Timeline – Weekly Files Create Weekly File Claims are adjudicated and pended in 01 status Monday Tuesday Wednesday Thursday Friday Claim #200 Claim #300 • Tue – Mon • EOD • Includes claim #900 • Does not include: #100, 200 and 300 Claim #200 Claim #300 Claims convert to 02 status Claim #900 Week 1 Week 2 Week 3 Create Weekly File • Tue – Mon • EOD • Includes: #200 and 300 Claim #100 Claim #100 Receiv e Claims Receiv e Claims Reverse Claim #300 Claim #301 Week 4 Create Weekly File Receiv e Claims • Tue – Mon • EOD • Includes: #300 • Does not include: #301 • Claim in 91 status • Claim converts to 02 status • Claim #301 02 status sent in week 5 Cut Checks Claim converts to 02 status Receiv e Claims Cut Checks • Tue – Mon • EOD • Includes claim #100 • Does not include: #200 and 300 Create Weekly File 01 Status 02 Status 91 Status Cut Checks Claim #301 • Claim converts to 02 status in week 4
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Transcript of Claim Process
1
Draft – Work in ProgressClaim Timeline – Weekly Files
Create Weekly File
Create Weekly File
Claims are adjudicated and pended in 01 status
Monday Tuesday Wednesday Thursday Friday
Claim #200Claim #200 Claim #300Claim #300
• Tue – Mon• EOD• Includes claim
#900• Does not
include: #100, 200 and 300
Claim #200Claim #200
Claim #300Claim #300
Claims convert to 02
status
Claim #900Claim #900
Week 1
Week 2
Week 3
Create Weekly File
Create Weekly File
• Tue – Mon• EOD• Includes: #200
and 300
Claim #100Claim #100
Claim #100Claim #100
Receive
Claims
Receive
Claims
Receive
Claims
Receive
Claims
Reverse Claim #300
Reverse Claim #300
Claim #301Claim #301
Week 4 Create Weekly File
Create Weekly File
Receive
Claims
Receive
Claims
• Tue – Mon• EOD• Includes: #300• Does not include: #301
• Claim in 91 status
• Claim converts to 02 status
• Claim #301 02 status sent in week 5
Cut ChecksCut Checks
Claim converts to 02 status
Receive
Claims
Receive
Claims
Cut ChecksCut Checks• Tue – Mon• EOD• Includes claim
#100• Does not
include: #200 and 300
Create Weekly File
Create Weekly File
01 Status
02 Status
91 Status
Cut ChecksCut Checks
Claim #301Claim #301
• Claim converts to 02 status in week 4
![Making a personal injury claim : the process [info graphic]](https://static.fdocuments.us/doc/165x107/5402ee5c8d7f72f24a8b4746/making-a-personal-injury-claim-the-process-info-graphic.jpg)
