guides:work-board
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| guides:work-board [2026/08/12 17:16] – Drop the bell-only migration caveat; no existing users are affected by it brad.sharp | guides:work-board [2026/10/15 17:25] (current) – Swimlanes by payer / none, drag stays in lane, default "my items" filter, card badges and move menu, side-panel detail, table is a list, digest primary-contact fallback brad.sharp | ||
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| ====== Work Board ====== | ====== Work Board ====== | ||
| - | > **This feature may need to be enabled for your account.** The Work Board is turned on per practice. If you don't see **Work Board** in your left-hand navigation menu — or you see it but rejected, denied, and no-response claims never appear on it automatically | + | > **This feature may need to be enabled for your account.** The Work Board is turned on per practice. If you don't see **Work Board** in your left-hand navigation menu, or you see it but rejected, denied, and no-response claims never appear on it automatically, your account may not be set up for it yet. Contact ClaimRev support to request access (see the bottom of this page). |
| - | The **Work Board** is your single place to see and work every claim that needs a human, plus any follow-up tasks you create. Instead of hunting through claim search for problems, the Work Board brings them to you: payer rejections, clearinghouse (front-end) rejections, denials, claims that have gone quiet with no response, and your own to-dos | + | The **Work Board** is your single place to see and work every claim that needs a human, plus any follow-up tasks you create. Instead of hunting through claim search for problems, the Work Board brings them to you: payer rejections, clearinghouse (front-end) rejections, denials, claims that have gone quiet with no response, and your own to-dos, all in one prioritized, |
| It's built to be a daily worklist: assign items to your team, set priorities and due dates, leave notes, and move work across columns as it progresses. | It's built to be a daily worklist: assign items to your team, set priorities and due dates, leave notes, and move work across columns as it progresses. | ||
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| **Automatically (when enabled for your account):** | **Automatically (when enabled for your account):** | ||
| - | * **Payer rejections** | + | * **Payer rejections**: a payer rejected the claim (from a 277 response) |
| - | * **Front-end rejections** | + | * **Front-end rejections**: the clearinghouse rejected the claim before it reached the payer (from a 999 response) |
| - | * **Denials** | + | * **Denials**: the payer denied the claim on the remittance (from an 835 / ERA) |
| - | * **Validation errors** | + | * **Validation errors**: ClaimRev' |
| - | * **No response** | + | * **No response**: the claim was sent but nothing has come back within the expected window, so it's flagged for follow-up. The board checks for these each morning, and again when you open it (at most once an hour) |
| **Manually (any time):** | **Manually (any time):** | ||
| - | * **Add a claim** | + | * **Add a claim**: from a claim in **Claim Search**, use the **Work Item** button to add it to the board |
| - | * **Create a task** | + | * **Create a task**: use **+ New Task** on the board to add a free-standing to-do that isn't tied to a single claim (for example, "Call BCBS about the prior auth on the Smith account" |
| ===== The board at a glance ===== | ===== The board at a glance ===== | ||
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| The Work Board has two views you can switch between: | The Work Board has two views you can switch between: | ||
| - | * **Board view (Kanban)** | + | * **Board view (Kanban)**: cards arranged in columns by status; drag a card to a new column to update it |
| - | * **Table view** | + | * **Table view**: the same items as a list, one row per item, handy for scanning a lot at once. Click a row to open it |
| ==== Columns (status) ==== | ==== Columns (status) ==== | ||
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| Every item moves left to right as you work it: | Every item moves left to right as you work it: | ||
| - | * **New** | + | * **New**: just arrived, not started |
| - | * **In Progress** | + | * **In Progress**: someone is actively working it |
| - | * **Waiting** | + | * **Waiting**: you're waiting on something (a payer, a provider, more information) |
| - | * **Resolved** | + | * **Resolved**: done |
| - | Drag a card between columns to change its status, or change it from the item's detail | + | To change |
| - | ==== Swimlanes | + | ==== Swimlanes ==== |
| - | * **Swimlanes** | + | Swimlanes split the board into horizontal rows, each with its own set of status columns. Use the **Swimlanes** |
| - | * **Filter bar** — narrow | + | |
| + | | ||
| + | | ||
| + | * **By payer**: one row per payer, useful when you're working | ||
| + | * **No swimlanes**: one plain board with every card in it | ||
| + | |||
| + | A row only appears when it has at least one item in it. | ||
| + | |||
| + | Dragging a card moves it between **columns within its own row**. You can't drag a card into a different row. To move an item to another row, change the thing the rows are grouped by: open the item and reassign it (to move it between assignee rows) or reclassify its reason (to move it between reason rows). | ||
| + | |||
| + | ==== Filters ==== | ||
| + | |||
| + | The filter bar narrows | ||
| + | |||
| + | If you are one of your practice' | ||
| ==== What each card shows ==== | ==== What each card shows ==== | ||
| - | * The **reason** (a colored badge — see below) | + | * The **reason** (a colored badge, see below) |
| + | * Where the item came from: a **Claim**, an **ERA**, or a **Task** | ||
| + | * The claim' | ||
| + | * **Priority**, | ||
| + | * The patient and claim number (or the task title) | ||
| * **Payer** and claim **dollar amount** | * **Payer** and claim **dollar amount** | ||
| * **Assignee** (who owns it) | * **Assignee** (who owns it) | ||
| * **Due date** and **days aging** (how long it's been on the board) | * **Due date** and **days aging** (how long it's been on the board) | ||
| - | * **Priority** | ||
| ===== Reasons ===== | ===== Reasons ===== | ||
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| Each item is tagged with a reason so you know why it needs attention: | Each item is tagged with a reason so you know why it needs attention: | ||
| - | * **Payer Rejection** | + | * **Payer Rejection**: the payer rejected the claim |
| - | * **Front-End Rejection** | + | * **Front-End Rejection**: the clearinghouse rejected it before the payer saw it |
| - | * **Validation Error** | + | * **Validation Error**: ClaimRev' |
| - | * **No Response** | + | * **No Response**: sent, but no acknowledgment or payment within the expected window |
| - | * **Denial** | + | * **Denial**: denied on the remittance |
| - | * **Manual Review** | + | * **Manual Review**: flagged by a person for a closer look |
| - | * **Task** | + | * **Task**: a free-standing to-do you created |
| If an item came in with the wrong reason, you can **reclassify** it (see below). | If an item came in with the wrong reason, you can **reclassify** it (see below). | ||
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| ===== Working an item ===== | ===== Working an item ===== | ||
| - | Click any card (or table row) to open its detail | + | Click any card (or table row) to open its detail |
| - | * **Assign it** — pick a teammate from the assignee list so it's clear who owns it | + | * **Assign it**: pick a teammate from the assignee list so it's clear who owns it |
| - | * **Set priority** | + | * **Set priority**: flag the urgent ones |
| - | * **Set or change the due date** | + | * **Set or change the due date**: this drives reminders (see Notifications below) |
| - | * **Add notes** | + | * **Add notes**: every note is timestamped and kept on the item's timeline, so anyone who picks it up can see the history |
| - | * **Reclassify the reason** | + | * **Reclassify the reason**: change the reason if it was categorized incorrectly |
| - | * **Send to Workbench** | + | * **Send to Workbench**: for a denial you intend to appeal, send it to the **Denial Workbench**, |
| - | * **Close the work item** | + | * **Close the work item**: when it's fully handled |
| ==== Seeing the claim without leaving the board ==== | ==== Seeing the claim without leaving the board ==== | ||
| - | For items tied to a claim, the detail | + | For items tied to a claim, the detail |
| - | * **Claim Detail** | + | * **Claim Detail**: patient, payer, provider, service and received dates, billed amount, status, the claim/ |
| - | * **ERA Detail** | + | * **ERA Detail**: for items that came from a remittance, the claim-level and per-line **CARC** codes and **RARC** remarks that explain the denial |
| The ERA Detail tab only appears on items that have a remittance attached. | The ERA Detail tab only appears on items that have a remittance attached. | ||
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| //Practice administrators only.// Go to **Practice Admin → Work Board → Work Board Configuration**. Everything here applies to your own account. | //Practice administrators only.// Go to **Practice Admin → Work Board → Work Board Configuration**. Everything here applies to your own account. | ||
| - | * **Team & Notifications** | + | * **Team & Notifications**: choose your **team members** (these are the people who can be picked as an assignee), then choose your **triage owners** from that list. Triage owners are the people notified about items that nobody has been assigned yet. Set at least one, so unassigned work always reaches someone (see below) |
| - | * **No-response floors** | + | * **No-response floors**: how many days after a claim is sent before it counts as "gone quiet" |
| - | * **Reason SLAs** | + | * **Reason SLAs**: how many days after an item is detected before it's due. Leave a row blank to use the built-in default: front-end rejection 5 days, payer rejection 7, no response 14, denial 30, validation error 3. Manual Review and Task have no automatic SLA, since you set those due dates yourself |
| - | * **Classification rules** | + | * **Classification rules**: how denials from the remittance are categorized. Most accounts should leave **Use default classification rules** checked |
| If you don't see this screen, your sign-in doesn' | If you don't see this screen, your sign-in doesn' | ||
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| Two things watch your board for you. | Two things watch your board for you. | ||
| - | * **Due date reminders** | + | * **Due date reminders**: when an item reaches its due date, the person it's **assigned to** is notified. If nobody is assigned, the reminder |
| - | * **A daily digest** | + | * **A daily digest**: a once-a-day summary of everything still open. Each person gets a digest of their own items. One digest covering the unassigned items goes to your triage owners, or, if you haven' |
| Auto-detected items get a due date automatically from your **Reason SLAs**, so rejections and denials start aging against a deadline without anyone having to set one. For anything you add by hand, set a due date so it doesn' | Auto-detected items get a due date automatically from your **Reason SLAs**, so rejections and denials start aging against a deadline without anyone having to set one. For anything you add by hand, set a due date so it doesn' | ||
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| Reminders and digests appear in the portal on the **notification bell**, and are also sent by **email**. Email is delivered in batches rather than the instant an item comes due, so allow up to an hour for it to arrive. The bell updates straight away, so it is always the faster of the two. | Reminders and digests appear in the portal on the **notification bell**, and are also sent by **email**. Email is delivered in batches rather than the instant an item comes due, so allow up to an hour for it to arrive. The bell updates straight away, so it is always the faster of the two. | ||
| - | Both reminders and the digest depend on your triage owners being set, so if unassigned items are going unnoticed, check **Team & Notifications** first. | + | If unassigned items are going unnoticed, check **Team & Notifications** first and make sure at least one triage owner is set. |
| ===== When work is done ===== | ===== When work is done ===== | ||
| - | Move an item to **Resolved** (or use **Close work item** from the detail | + | Move an item to **Resolved** (or use **Close work item** from the detail |
| * **Resolved** items stay visible on the board for about **30 days** so you can confirm the outcome, then they drop off the active board automatically. | * **Resolved** items stay visible on the board for about **30 days** so you can confirm the outcome, then they drop off the active board automatically. | ||
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| ===== Don't see the Work Board, or it stays empty? ===== | ===== Don't see the Work Board, or it stays empty? ===== | ||
| - | The Work Board is enabled per practice. | + | The Work Board is enabled per practice. |
| - **No "Work Board" in your menu?** Your sign-in may not include access to it yet. Contact ClaimRev support to request it. | - **No "Work Board" in your menu?** Your sign-in may not include access to it yet. Contact ClaimRev support to request it. | ||
| + | - **The board looks emptier than you expect?** If you're a team member, the board opens showing only items assigned to you. Clear the **assignee** filter to see everything. | ||
| - **You see the board, but rejected, denied, and no-response claims never appear on their own?** Automatic detection may not be turned on for your account yet. You can still add claims and create tasks manually, but to have problems surface automatically, | - **You see the board, but rejected, denied, and no-response claims never appear on their own?** Automatic detection may not be turned on for your account yet. You can still add claims and create tasks manually, but to have problems surface automatically, | ||
guides/work-board.1786555007.txt.gz · Last modified: by brad.sharp
