> ## 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.

<img src="https://mintlify.s3.us-west-1.amazonaws.com/elationhealth/images/intercom/eda3c379c3ae_e6d749e1-4031-4da5-88f8-a13ed23a6c7b" alt="Image" />

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.

<img src="https://mintlify.s3.us-west-1.amazonaws.com/elationhealth/images/intercom/532397546f24_782ae3ec-2715-4eed-8543-ab407fb0da2e" alt="Image" />

***

### Viewing Downcoded Claim Alerts on the Payment

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

<img src="https://mintlify.s3.us-west-1.amazonaws.com/elationhealth/images/intercom/3b1cae001280_3f668f4e-4b5d-4449-9c4a-0e0b6b4b0afe" alt="Image" />

## Related Articles

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