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Posted Invoices

You can land on this page view two routes- by clicking on the ‘post’ button on Un-posted batches page or when you directly click on this menu from left menu panel. 

By default this page shows all the open claims & invoices. You can filter it by age or by statuses. If you want to view any closed/reconciled/voided claims use the toggle on the header of this page “Show open only”- set it to no. 

Posted invoices represent claims that have been successfully submitted. In this section, users can track the progress of claims, filter by payor, date range, or funding source, and group invoices for easier management. In the header you can also search by invoice ID. 

Accounts Receivable (AR) Buckets for Claims

In Motivity, Accounts Receivable (AR) related to claims are organized into three primary buckets. Each bucket categorizes claims based on their current status in the billing process. These buckets help streamline the management of claims and identify the next steps for follow-up or action. Claims can move through various statuses during the billing process, from manual posting to submission through clearinghouses and payor review. 

1. Clearinghouse

This bucket includes all claims that are currently with the clearinghouse, encompassing statuses related to submission and processing errors.

Statuses under Clearinghouse:

  • Submitted to Clearinghouse: Claims that have been successfully submitted to the clearinghouse for processing.
  • Clearinghouse File Acceptance Error: Claims that encountered file acceptance errors during submission.
  • Clearinghouse File Configuration Error: Claims that had file configuration issues during the submission process.
  • Rejected by Clearinghouse: Claims rejected by the clearinghouse that require correction or resubmission.
  • Resubmitted to Clearinghouse: Claims that have been corrected and resubmitted to the clearinghouse.
  • Regenerated & Resubmitted to Clearinghouse: Claims that have been updated and resubmitted to the clearinghouse for further processing.

2. With Payor

This bucket captures all claims that have been submitted to the payor and are either under review or awaiting a decision. It also includes claims that require further follow-up due to pending actions by the payor.

Statuses under Payor:

  • Pending Response by Payor: Claims that are awaiting a response from the payor after submission.
  • Under Review by Payor: Claims currently being reviewed by the payor.
  • Rejected by Payor: Claims rejected by the payor, requiring correction, appeal, or resubmission.
  • Reconciled – Balance to Secondary: Claims where the balance has been transferred to the secondary payor.
  • Reconciled – Balance to Parent: Claims where the balance has been transferred to the parent payor.

3. Denials/Partial Payments

This bucket includes claims that have been denied by the payor or those that received partial payments. These claims require further action, such as denial management, appeals, or resubmission.

Statuses under Denials/Partial Payments:

  • Claims Denied by Payor: Includes both fully denied and partially denied claims.
  • Reconciled Partially: Claims that have been partially paid, but some balances remain unresolved.

Other Statuses


After organizing claims into the three primary AR buckets (Clearinghouse, With Payor, and Denials/Partial Payments), the remaining claim statuses fall outside of these categories, primarily relating to claims that have been resolved or are not actively part of the AR follow-up process. Here are the remaining statuses:

Posted (Non-Clearinghouse)

  • Posted (Manual Posting): Claims that have been manually posted outside of the clearinghouse process and are not directly tied to the clearinghouse or payor follow-ups.

Patient Responsibility

  • Emailed to Patient: Claims where patient responsibility has been identified, and the statement has been emailed to the patient for payment.

Reverted

  • Voided (Reverted): Claims that have been voided.