Overview
Occasionally, an appeal may not reach the intended payer. If research confirms that the payer has no record of the appeal, this action enables you to document that the appeal has been resent, while maintaining the claim’s status as 'Under Appeal.'
Resend Appeal
1. To begin, access the previously appealed claim in OneSpot (Aging>Claims>By Claim Status>Under Appeal). Then, select the applicable claim to open its 'Claims Details' and view the 'Appeals' tab.
2. Select the three dots to the left of the appeal.
3. Select 'Resend Appeal.'
4. ‘Filing Date’ will default to the current date, and ‘Check on Appeal’ will default to 30 days from the current date. If needed, these fields can be edited.
5. 'Documents' is an optional field. If you have documents ready to be uploaded, you can select the 'Upload Appeal Documents' box. If not, you can unselect this box, and documents can be uploaded later.
6. Enter a comment. This could include a more detailed reason for resending the appeal.
7. When finished, select ‘Resend Appeal.’ If you do not want to save the information, select ‘Cancel.’
Note: If you selected the 'Upload Appeal Documents' box, continue to step 8. If finished, select 'Close.'
8. In the 'Document' field, select 'Choose File.' This will open a dialogue window, then, select the document you would like to upload.
9. Select the 'Document Type' from the drop-down menu. If 'Other' is selected, the 'Document Summary' field will display and allow you to enter a more detailed description.
10. Select ‘Upload Document.’ If needed, repeat steps 8-10 for each document.
11. When finished, or if you do not want to upload appeal documents, select ‘Close.’
The 'Appeals' tab within the claim details will update the original appeal’s status to 'Resent,' and the new appeal will be displayed. The 'Activity' tab will also be updated to reflect these changes.