What do we call claims that have not been paid within a certain time frame?

What do we call claims that have not been paid within a certain time frame?

• A. Current Claims
• B. Delinquent Claims
• C. Resolved Claims
• D. Submitted Claims

Answer: (B)

The correct term for claims that have not been paid within a certain time frame is "Delinquent Claims." This classification is used within revenue cycle management to describe claims that are overdue for payment based on the agreed-upon timelines set by payers or regulatory standards. When these claims remain unpaid beyond the established period, they are considered delinquent, which often necessitates additional follow-up efforts by the healthcare provider's billing department to rectify the situation and ensure that payment is received. In contrast, current claims refer to those that are still within the payment window and have not yet exceeded their expected payment timeframe. Resolved claims indicate that the issues surrounding the claim have been addressed, either through payment or denial, meaning they are no longer outstanding. Submitted claims signify that they have been filed with a payer but do not denote anything about their payment status. Understanding these classifications is crucial for effective revenue cycle management, as each type requires different handling and follow-up processes.

The correct term for claims that have not been paid within a certain time frame is "Delinquent Claims." This classification is used within revenue cycle management to describe claims that are overdue for payment based on the agreed-upon timelines set by payers or regulatory standards. When these claims remain unpaid beyond the established period, they are considered delinquent, which often necessitates additional follow-up efforts by the healthcare provider's billing department to rectify the situation and ensure that payment is received.

In contrast, current claims refer to those that are still within the payment window and have not yet exceeded their expected payment timeframe. Resolved claims indicate that the issues surrounding the claim have been addressed, either through payment or denial, meaning they are no longer outstanding. Submitted claims signify that they have been filed with a payer but do not denote anything about their payment status. Understanding these classifications is crucial for effective revenue cycle management, as each type requires different handling and follow-up processes.