Biller received — the visit has reached the billing team and is being coded.

Coded — coding is complete; the claim is being prepared for submission.

Missing information — something required is missing before the claim can be submitted.

Waiting on provider — 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 — the claim went out through the clearinghouse, and we're waiting on the payer to adjudicate it.

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.

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.

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.