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Claim message

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6 comments

  • Gillian

    Hi Patrice, I'd be happy to help. The "Entity acknowledges receipt of claim/encounter. NOTE:This code requires use of a Entity code(20)" is an internal status assigned by the payer to the claim. It doesn't require any further action on your part. The Accepted status is the important part, and means that you can expect to receive reimbursement for these claims per your contract with the insurance payer. 

    Let me know if you have any additional questions about this, or anything else SimplePractice. I'm here to help.

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  • Ben Gleaves

    Hi Patrice and Gillian, I'm getting the: Entity acknowledges receipt of claim/encounter. NOTE:This code requires use of a Entity code(20). How long does it take to get reimbursed from the time that code pops up?

    Thanks!

    Ben

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  • Patrice Carroll, LICSW
    Hi Ben,
    I don't remember exactly how long it took but I will assume that because I don't remember that it wasn't too long!
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  • Gillian

    Thanks for chiming in, Patrice. Ben, payers vary in terms of how quickly they process and pay claims, so we aren't typically able to provide an estimate of when you'll get paid. However, the Accepted status means that the claim will be paid soon. 

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  • Elena Vladu

    Hello Gillian, I too am getting the Entity code 20 for lots of claims, and many of them have been submitted as far back as 21 days ago whereas they were paid in 2-4 days before I started using SP. Do you have any info on this situation?

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  • Ruth

    Hi Elena - If the claim's status reads "Accepted" then that means it was processed and submitted to the payer successfully. The Entity Code 20 note doesn't necessarily mean you have to change anything in order for the claim to be processed correctly. Here is more on Checking a claim status: The different phases of an insurance claim.

    Claims' statuses won't change past "Accepted" unless you're enrolled in Payment Reports, or add a manual insurance payment. If you were paid for a claim prior to your Payment Report getting accepted by the insurance payer, you'll want to add a manual insurance payment for these sessions. Here is more on Adding an insurance payment

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