Approve claims
1
Choose the claims
For one claim, select the ⋯ menu at the end of its row and choose Approve. It shows only on a claim whose status is Ready, and only if you are allowed to approve. A claim with problems to fix shows it greyed out, with “Fix N problems first”. For several claims, tick them, or Select all on this page, then open the menu beside Generate and choose Approve with the number you ticked, for example Approve (3). Claims with problems to fix are left out, and the confirmation says how many.
2
Confirm
The dialog says (for one claim it reads “this claim” and “it”) “Approving says you have checked these claims and they can go into a production file. Only claims marked ready can be approved, and changing an approved claim later withdraws its approval.” Select Approve 3 claims.
Who can do this
Other staff do not have either permission until an owner or manager gives it. Give them from Staff & Teams, in a person’s Permissions, under Claims. See Permissions. Enforcement starts for a person when you save their permissions.
A biller cannot approve a claim they confirmed themselves. The claim is skipped, and another approver, an owner or a manager has to do it. An owner or manager can approve their own claims, so a solo practice can still work alone.
Check it worked
- The toast reads “N claims approved.”
- The claims show the status Approved. The step bar moves to Generate.
Common issues
'You cannot approve claims'
'You cannot approve claims'
“Approving a claim needs permission at this clinic. Ask an owner or manager.”
'No claim was approved'
'No claim was approved'
“A claim must be marked ready, with every field confirmed, before it can be approved.” Open the claims and finish the review.
An approved claim went back to Ready
An approved claim went back to Ready
Changing an approved claim withdraws its approval. Approve it again after the change.
FAQ
Does approving send anything to Medi-Cal?
Does approving send anything to Medi-Cal?
No. Approving only says the claim may go into a production file. Nothing leaves ClinikEHR until you download a file and upload it yourself.
Do I have to approve claims before a test file?
Do I have to approve claims before a test file?
No. A test file takes claims that are marked ready.