> ## Documentation Index
> Fetch the complete documentation index at: https://help.elationhealth.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Monitoring for Downcoded Claims

> Learn how to identify and monitor downcoded claims in Elation Billing

This article explains how to identify and monitor downcoded claims in Elation Billing.

## Overview

### What are Downcoded Claims?

A downcoded claim is when a payer pays for a lower-level, less complex, or less expensive service than what your practice submitted. This results in lower reimbursement. The most common way to know about this is through your electronic remittances (ERAs).

### How Does Elation Monitor for Downcoded Claims?

Elation reviews ERAs and identifies claims that have been downcoded. This applies to Evaluation and Management (E/M) CPT Codes beginning with 992:

* 99215, 99214, 99213, 99212
* 99205, 99204, 99203

## Workflow Instructions

### Filtering for Downcoded Claims in the Worklist

Downcoded claims are automatically tagged as **Downcoded**. Use the **Search** bar to filter the Worklist by this tag.

<Frame caption="Search for 'Downcoded' claims in the Worklist. Resulting claims will be tagged as 'Downcoded'">
  <img src="https://mintcdn.com/elationhealth/Fz_2fV3RKwgQ3Ol9/images/downcoded_claims_worklist.png?fit=max&auto=format&n=Fz_2fV3RKwgQ3Ol9&q=85&s=bd2ba5876e312471824d70ce94c68175" alt="Downcoded Claims Worklist" title="Downcoded Claims Worklist" className="mx-auto" width="890" height="286" data-path="images/downcoded_claims_worklist.png" />
</Frame>

See [Using the Worklist](/articles/using-the-worklist) for instructions on removing claims from the Worklist.

***

### Viewing Downcoded Claim Alerts on the Superbill

On the **Superbill** page, an alert at the top notifies you when a payer has downcoded a claim and shows the resulting paid amount.

<Frame caption="An alert is displayed at the top of the Superbill page of a downcoded claim.">
  <img src="https://mintcdn.com/elationhealth/Fz_2fV3RKwgQ3Ol9/images/downcoded_claim_alert.png?fit=max&auto=format&n=Fz_2fV3RKwgQ3Ol9&q=85&s=990117cd9d0349bca0555df7780de450" alt="Downcoded Claim Alert" width="2338" height="596" data-path="images/downcoded_claim_alert.png" />
</Frame>

***

### Viewing Downcoded Claim Alerts on the Payment

On the **Payment** page, an alert shows which claim was affected and the resulting paid amount.

<Frame caption="An alert is displayed at the top of the Payment page containing a downcoded claim.">
  <img src="https://mintcdn.com/elationhealth/Fz_2fV3RKwgQ3Ol9/images/downcoded_claim_payment_alert.png?fit=max&auto=format&n=Fz_2fV3RKwgQ3Ol9&q=85&s=c469d9153c88fe6fac34923a1f9b2dc4" alt="Downcoded Claim Payment Alert" width="2368" height="412" data-path="images/downcoded_claim_payment_alert.png" />
</Frame>

## Related Articles

* [Using the Worklist](/articles/using-the-worklist)
* [Claim Appeals](/articles/claim-appeals)
* [Common Code Denials](/articles/common-code-denials)
