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...

August 1st, 2026 815 views 2 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 380 views 0 likes
Searching for a Claim

This article explains how to navigate and manage the Claims Page within the Pear Suite Platform. By utilizing search functions,...

March 2nd, 2026 226 views 1 likes
Export Claims For Reporting

This article explains how to filter, sort, and export claim data within the Pear Suite Platform. By utilizing advanced filtering...

February 27th, 2026 284 views 0 likes
Resubmitting a Rejected Claim

This article explains how to identify, correct, and resubmit rejected claims within the Pear Suite Platform. Following these steps ensures...

February 27th, 2026 337 views 0 likes
Claims: Filtering and Sorting

This article explains how to filter, sort, and manage claim data within the Pear Suite Platform. By utilizing advanced filtering...

February 27th, 2026 288 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...

May 14th, 2026 1021 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 295 views 1 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 163 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 149 views 0 likes
Tracking Remaining Billing Units for a Member

The Recent Claims Summary section in a member’s profile provides real-time visibility into service utilization. This feature is essential for...

March 4th, 2026 119 views 0 likes

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