Every claim in Taiga carries a status that tells you where it is in its lifecycle. Statuses group into stages that mirror how billing teams work a book of claims.
Coding
Biller received — the visit has reached the billing team and is being coded.
Pre-submission
Claims that haven't gone out the door yet:
Coded — coding is complete; the claim is being prepared for submission.
Missing information — something required is missing before the claim can be submitted.
Waiting for provider / Pending provider action — the claim needs something from your team, like a signature or a chart clarification.
Held by customer — your team asked us to hold the claim.
Not billable — the visit was intentionally written off and will not be billed. This is a deliberate decision, never a temporary parking spot.
Submitted and in flight
Submitted to payer — the claim went out through the clearinghouse.
Waiting for payer — the payer has the claim and we're waiting on adjudication.
Rejections
Rejected — the claim was turned back before adjudication, usually by the clearinghouse or the payer's front-end edits (bad member ID, missing data, enrollment issues). Rejected claims are corrected and resubmitted — a rejection is not a denial.
Denials
Denied — the payer adjudicated the claim and refused payment. Denials are reviewed and, where appropriate, corrected, appealed, or reconsidered.
Finalized denied — the denial is final after review; no further payer action is expected.
Payment
ERA received — the electronic remittance arrived and is being reconciled.
ERA requires review — the remit needs a human look before posting.
Paid — the payer paid the claim.
Paid incorrectly — payment arrived but doesn't match what's expected; we follow up with the payer.
Finalized paid — the claim is fully resolved and paid.
Stale claims
A claim with no payer response for an extended period is flagged as stale by age rather than by a discrete status — these get proactive follow-up so they don't silently sit unpaid.
You can filter the Claims page by any of these statuses, and the Overview page's claims mix chart buckets your whole book into paid, denied, and in-flight at a glance.