Managing Claims

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Tracking and Understanding Claim Status

Tracking a Claim Tracking claim in Pear Suite helps you monitor where a claim is in the billing process and...

November 19th, 2025 369 views 1 likes
Common Claim Errors and Fixes

Below are the most common Claims Errors and suggestions for correcting each type. Consent not found: This means Billing...

June 25th, 2025 155 views 0 likes
Searching for a Claim

The Claims Page provides access to all generated claims. Users can search for claims using the Search Box, located at...

February 27th, 2025 134 views 1 likes
Export Claims For Reporting

Export Claims for Reporting Exporting claims in Pear Suite helps you track payments, review billing trends, and identify claims that...

February 27th, 2025 170 views 0 likes
Resubmitting a Rejected Claim

Resubmitting a Rejected Claim Resubmission Process If a claim is rejected, you can correct the issue and resubmit it. Start...

March 4th, 2025 218 views 0 likes
Claims: Filtering and Sorting

Overview Pear Suite provides filtering and sorting tools to help you quickly view and manage claims. These features allow you...

October 7th, 2025 204 views 0 likes
Requesting Additional CHW Billable Units For a Member

Standalone Community Health Worker (CHW) services can be billed to an appropriate Medi-Cal health plan for up to 12 units...

November 13th, 2025 351 views 1 likes
Billing Limitation for CHW Services

Objective: Provide information to Admin users to help in their understanding about the unit limit being placed on the cost...

September 2nd, 2025 114 views 0 likes
Claim Denial Reasons

Below is a list of denial codes/reason as to why claims are denied by the health insurance companies, each with...

September 2nd, 2025 38 views 0 likes
Admin Tip: Find Your Generated Claims Faster!

When your team finishes entering services in Pear Suite, the system automatically creates “ Generated ” claims.Before those claims can...

October 7th, 2025 57 views 0 likes
Tracking Remaining Billing Units for a Member

You can view how many billable units are remaining for each member directly from the Recent Claims Summary section in...

November 19th, 2025 18 views 0 likes

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