Pear suite Glossary
Written by Nevadit Chaudhary
Updated at May 5th, 2025
This is a auto-generated Article of all your definitions within the glossary.
Glossary
This is a auto-generated Article of all your definitions within the glossary.
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Accepted
The payer has received and acknowledged the claim.
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Activity
An Activity in Pear Suite is a recorded interaction or service provided to a Member. Activities help track the support given and document services provided. Some Activities can also be marked as billable, allowing them to generate Claims for reimbursement. Activities can include assessments, follow-ups, referrals, and general case notes. They can be started and managed from the Dashboard or the Member’s Page for easy tracking.
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Approved
The claim has been reviewed and approved by Pear Suite's internal billing team.
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assessments
An assessment is more like a standard questionnaire. It shows a set of questions all at once, and you simply work through them one by one. Assessments are best used when you need to gather information in a very consistent and structured way—such as when using tools like the PHQ-9 depression screening or the PRAPARE social determinants screening.
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Claim
A claim is a request for payment submitted to an insurance provider for a billable activity in Pear Suite. A claim is generated when an activity is marked as billable and includes required claim details for processing.
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Claim Status
A claim status shows the current stage of a claim in the billing and reimbursement process. It helps track whether a claim is still being processed, has been approved for payment, or needs corrections. The Claim Status options in Pear Suite are: Generated, Ready for Screening, Approved, Sent, Accepted, Denied, Rejected, Paid, Error, and Error While Delivery.
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CSV File
A CSV (Comma-Separated Values) file is a simple text file that stores data in a table format, with values separated by commas. It can be opened in spreadsheet programs like Excel or Google Sheets for easy sorting, filtering, and analysis.
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Denied
The payer has reviewed the claim but denied the claim and will not provide payment.
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EIN
Employer Identification Number: A nine-digit number used for claim submissions and tax identification when adding a billing provider that is a business entity.
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Error
The claim contains missing or incorrect details that must be fixed.
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Error While Delivery
The claim encountered an issue when being sent to the payer.
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flow
A flow is simply a list of questions, forms, or steps that guide what happens during your visit with the member.
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Generated
The claim has been created and has no errors but has not yet moved forward in the billing process.
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Paid
The claim has been approved and payment has been issued.
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Ready for Screening
The claim is prepared for review by billing team before submission.
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Rejected
The claim was not accepted due to missing or incorrect information on the claim.
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scripts
A script is a guided conversation tool. It feels like a back-and-forth dialogue and is designed to help you adjust your conversation depending on what the member says. For example, if a member says they need help with food, a script might automatically suggest a referral to a food pantry. Scripts can also trigger other actions, like creating a goal or starting a follow-up task.
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Sent
The claim has been submitted to the payer for processing.
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SSN
Social Security Number: A nine-digit number used for claim submissions and tax identification when adding a billing provider without an EIN.