Claims: Filtering and Sorting

Published February 26th, 2025 by David Mamae

Overview Pear Suite provides filtering and sorting tools to help you quickly view and manage claims. These features allow you to refine your search, organize data, and streamline your claims review process.   Filtering Claims You can apply multiple filters at once to narrow down claims based on specific criteria. Status Filter Select a claim status

Activity Time Tracker

Published February 11th, 2025 by David Mamae

The Activity Time Tracker, located in the top right corner of the screen, helps you track the total time spent completing an activity with a member. This is particularly useful for activities billed based on duration. The timer runs continuously until the user completes the activity by clicking the Finish button. This ensures that the recorded time

Setting Up Z-Codes

Published March 4th, 2025 by David Mamae

What Are Z-Codes? Z-codes are a subset of ICD-10-CM diagnosis codes used to document social determinants of health (SDOH) and other non-medical factors that influence a member's health status.  Start by navigating to the Organization page from the side menu.    Scroll down to the Diagnosis Code section.   On the right-hand side, click “+ Diagnosis C

Configuring Your Organization's Claims Settings

Published February 14th, 2025 by David Mamae

Claim Settings in Pear Suite Setting up claims settings in Pear Suite ensures that billing processes run smoothly and claims are submitted accurately. This includes managing Billing Providers, Rendering Providers, and Recommending Providers, enabling billing features, and defining claim configurations for different payers. These settings can be conf

Generating A Claim

Published February 14th, 2025 by David Mamae

Generating a Claim Generating a claim in Pear Suite ensures that billable activities are documented correctly for reimbursement. Claims are automatically created when a billable activity is completed, as long as all required details are entered. What is an Activity? An activity is a recorded interaction or service provided to a member. Activities ca

Billing Cycle

Published February 26th, 2025 by David Mamae

Resubmitting a Rejected Claim

Published February 26th, 2025 by David Mamae

Resubmitting a Rejected Claim Resubmission Process If a claim is rejected, you can correct the issue and resubmit it. Start by navigating to the Claims page from the side menu.   Identify the Rejected Claim On the Claim s page, find the rejected claim and click on it to review the details. The Claim Details section on the right side of the screen wi

Export Claims For Reporting

Published February 14th, 2025 by David Mamae

Export Claims for Reporting Exporting claims in Pear Suite helps you track payments, review billing trends, and identify claims that may need attention. The Claims Page provides an easy way to generate a claims export, allowing you to analyze billing activity and maintain organized records. The Export button on the Claims Page gives you the option t

Searching for a Claim

Published February 14th, 2025 by David Mamae

The Claims Page provides access to all generated claims. Users can search for claims using the Search Box, located at the top of the page, by entering a member’s name or claim ID. The search function helps locate specific claims quickly, eliminating the need for manual scrolling. Filters can be applied to refine search results, including insurance p

Editing a Billable Activity

Published February 14th, 2025 by David Mamae

Once an Activity has been marked as billable and completed, claim details remain available for you to edit and update until the claim status is sent.  Claim details can be accessed from the Member’s Page, where completed activities are listed in the Activities section. Selecting the Edit icon for a completed activity opens the Update Activity window

Billing Providers in Your Organization

Published February 21st, 2025 by David Mamae

Setting Up Billing Providers in Your Organization Adding billing providers in Pear Suite helps ensure smooth claims processing and accurate billing. This article walks you through how to add, edit, and manage billing providers in your organization. To add a new billing provider, start by navigating to the Organization page from the left-hand menu. O

Tracking and Understanding Claim Status

Published February 14th, 2025 by David Mamae

Tracking a Claim Tracking claim in Pear Suite helps you monitor where a claim is in the billing process and take action when needed. Each claim moves through different statuses that indicate whether it is being processed, requires attention, or has been completed. Understanding these statuses ensures claims are handled correctly and efficiently.    

Resolving a Claim

Published February 14th, 2025 by David Mamae