This article explains how to identify, correct, and resubmit rejected claims within the Pear Suite Platform. Following these steps ensures that errors are addressed and claims are refreshed with accurate information before being sent back for processing.

Step 1 – Locate the rejected claim

1. Navigate to the left-hand menu and select the Claims page
2. To find rejected claims quickly, use the Status filter at the top of the page and select Rejected
3. Alternatively, click the Status column header to sort the list and group all rejected claims together

Step 2 – Review rejection details

1. Click on the specific rejected claim to open the details sidebar on the right side of the screen
2. Scroll down to the Status section within the sidebar
3. Review the Rejection Reason provided to identify missing or incorrect information (such as invalid member details, incorrect procedure codes, or missing modifiers)

Step 3 – Correct and regenerate the claim

1. Make the necessary corrections to the member profile, activity, or claim fields based on the rejection reason identified
2. Locate the three dots icon on the far right side of the claim entry
3. Click the three dots icon and select + Generate
   • Note: This action refreshes the claim with the updated information and creates a new version of the claim for submission

Step 4 – Resubmit for processing

1. Verify that the claim status has updated to reflect the new generation
2. Review the refreshed details in the sidebar to ensure all previous errors are resolved
3. Click Submit to send the corrected claim back to the payer for processing