Executive summary. Use Claim Edits to understand and resolve issues identified before or during billing work.
Definition
A claim edit is a condition that requires review or correction before a claim can proceed as intended.
Who this is for
Billing specialists clearing edits before a claim moves on.
How to begin
Open the claim and read the edit message beside the claim detail. Work out whether the next action is a correction, a documentation follow-up, or a payer clarification.
Complete the workflow
Make only the changes the record supports, then recheck the status. Route an unresolved question rather than resubmitting the same information again.
Frequently asked questions
Should I override every edit?
No. Resolve the underlying issue, or follow your organization’s approved exception process.
Referenced standards and further reading
- Attergo product guide ↗Attergo
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