The Treatment Report payment status will reflect the current state in its life cycle. In the case where an electronic claim does not receive payment from an insurance payer, there can be three statuses the Treatment Report is set to.

Let''s go over how these are determined.

Denied
If the remittance states it's a denial, then the treatment report payment status is set to Denied.

Patient responsible
If the remittance doesn't state Denial, has a $0 payment, the payer's invoice does not have any payments applied and there is a patient responsibility adjustment of a deductible, coinsurance or co-pay amount, then the treatment report payment status is set to Patient responsible.

Not covered
If the remittance doesn't fall into either of the categories above, the treatment report payment status is set to Not covered.