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Chase Status Dictionary

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The chase has been through Data Entry, Overread and Overread 2 (Based on Project Settings) and results can be pulled into an extract/response file.

 

EVE MRR Processing

The NLP bot which performs Medical Record Review is processing your medical records for that chase and getting ready for Data Entry.

 

EVE Processing

The system is reviewing your Overread and Overread 2 Project Settings to determine if that chase qualifies for Overread or Overread 2.


Chart Received, Waiting on Invoice Approval

We have received a record that exceeds the cost threshold for that specific Vendor. The invoice will need to be approved in order to move that chart forward to Data Entry.


Client Overread (OR2)

The chase has been through Data Entry (and Overread, if selected) and was also selected for Overread 2 (Overread 2 selection is based on your Project Settings). This is performed by the client.

 

Data Entry

A record has been attached to the chase and users can now perform Primary Abstraction/Coding against the medical record.


Data Load

These are chases that were flagged as Inactive on the Chase Load File. The flag is an indicator to load the chase into the Reveleer platform as Inactive. This allows for the Inactive chases to be activated, at any time, through the Reveleer Platform without having to provide another Chase Load file - Chase not retrievable as is.

 

Doc Review

There is an issue with the document, and someone needs to review it to determine next steps (such as incorrect member) – or - Document was selected for Document QA based on the Project Setting percentages.


Downloaded

A chase that was closed or canceled through the pend process (3 digit and 4 digit pends) - Chase not retrievable.

Or a Chase has been delivered as part of nightly chart delivery/some other process and is complete.

  

Overread

The chase has been through Data Entry and was selected for Overread (Overread selection is based on your Project Settings).


Overread Feedback

The Medical Record Reviewer made an error that was captured by the Overreader and must review it. (Overread Feedback is a tool that can be enabled/disabled in Project Settings)

 

Past Due

The Provider have not sent the records when they said they would. We consider it past due when the date exceeds the Commitment or Appointment date from the Provider office.

 

Pended

There is an issue with the chase.


Sent to Vendor

Have sent the request for medical records for the chase to a vendor. They have not acknowledge they have received the request and are actively processing it at this time but can be used to track chases  This is driven by setting a request date for a chase as a 3rd party address(AID) in the system. 


Scheduled

For PSR sites it indicates when the provider committed to sending the records.

For Field Tech sites it indicates when you are planning to collect the records.

For EMR sites it indicates when you can access the EMR to collect the records.

For 3rd Party sites it indicated when the records are due to come in.


Unscheduled

Chase is active and you can contact the provider for the Medical Record.

 

Vendor Processing

Have confirmed with vendor that the chase was received and the request for the chart is actively being processed. This is driven by having a due date set for chases at a 3rd party address(AID) in the system.

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