Non Billable Claims

Billiyo will identify Claims that are likely to be denied before you send them. A Claim with the potential for Denial will land in the Non Billable Tab of the Generate Claims Page.

Billing > Generate Claims>Not Billable

To see the reason the Claim is Not Billable, Click on the Green Plus Sign

Here are Some Common Reasons for a Not Billable Claim:

Missing Details: SA is Not Billable. Update in SA page.

This means the Not Billable Toggle is set to Yes in the SA Page for this Client.

Missing Details: Employee UMPI.

This means the Employee UMPI Number is missing in the Employee Profile. 

Missing Details: Other waiver schedules are pending: See schedules on 04/01/2025 10:00 PM.

This means you have an unworked visit within the date span of this claim. 

Once you have fixed the reason for the Missing Details, the Claim will Automatically Move to the Ready For Bill Tab.

To Learn More About generating a Claim, Please Visit our Page: Generate Claims

At the Top of the Not Billable Tab you will see more options. Archive is an option.

To Learn More About archiving a Non Billable Claim, Please Visit our Page: Archiving and Unarchiving Unbilled Claims

You will also see Revert Ready For Billing as an Option in this Page.

Taking this action will move the Not Billable Claim to the Ready For Bill Tab.

But Keep in Mind this does not resolve the reason for the Claim to be Not Billable and once you take the action "Get it Ready for Billing", it will go back to the Not Billable Tab until the reason for Missing Details is resolved.