Why is my claim showing as Paid status but with $0.00 payment? (FAQ)

Solution:

This means the 835 payment file was transmitted to ACC with a $0 payment and no denial code.

AlayaCare sets the status to paid because without a denial code we do not know it is denied, it appears as if the claim is paid with a zero value.

In the Claim Events you will see an event named 'Claim payment $0.00'.

To resolve the denial, you will need to look at your EOB (Explanation of Benefits) to find the rationale for why the claim was denied and make necessary corrections to the claim, payor, client, and/or linked visit(s).

• If corrections are needed on the claim, you can Revise the claim send the revised information.
• If corrections are needed for payor, client, or linked visits, you will need to void the claim, make corrections and generate claims again to pick up new information.

Notes:

• You can troubleshoot the issues explored in this article in your staging environment.
• If the issue is not resolved after going through the steps in this article, please search through other related Zendesk articles or have your super user submit a Zendesk ticket.
• For a full list of FAQs related to Claims, check out this section in Zendesk.