Claim Payment Tracking
How Medicaid Agencies Can Track Paid and Denied Claims
A clear claim payment tracking workflow starts with the 835 ERA file.
Direct answer: Medicaid agencies can track paid and denied claims by importing 835 ERA files into a dashboard that separates paid claims, denied claims, underpaid claims, patient responsibility, and unmatched payments.
What to track
- Paid claims by payer and payment date
- Denied claims by CARC/RARC reason code
- Underpaid claims by expected reimbursement
- Patient responsibility amounts
- Unmatched claims and missing payments
- Assigned follow-up and appeal status
Why spreadsheets break down
Spreadsheets may work for a few remits, but Medicaid billing teams often need to search by patient, payer, provider, date of service, claim number, check number, EFT trace, and denial code. A dashboard keeps this work organized across files.
What better visibility supports
- Fewer missed denials
- Faster follow-up on underpaid claims
- Cleaner audit preparation
- Better payer trend review
- More consistent billing team handoffs
Track claims from raw remits
One Care Portal ERA Dashboard helps agencies upload raw 835 files and organize paid, denied, underpaid, and unmatched claims.
View ERA Dashboard