Whenever possible, we try to communicate plainly about how to use the Kinetik platform, but occasionally specialized language has to be used. Below you'll find a glossary of terms that you can reference in the event something is unclear, or you want to double-check your knowledge.

835 File
A file sent from the insurer to the provider, containing the information for the ERA (Electronic Remittance Advice)

837 File

A HIPAA compliant file type for billing, sent from the provider to the insurer

API
​​Application programming interface, a method of connecting the Kinetik platform to other technologies for seamless integration

Approved (Claim Status)
Payor accepts claim and will pay

Billed (Claim Status)
Payor has acknowledged and received claim from Kinetik

Billing Dashboard

Kinetik RCM Tab, where providers can submit insurance claims

Broker Canceled (Claim Status)
Payor canceled the trip and will not accept the claim

CSV File
Comma Separated Value, a typical file type for viewing tables and reports

Dashboard
The front page of Kinetik RCM, providing at-a-glance claim information

Dispatch Software
A system designed to help automate routing and scheduling processes

Eligibility

Patience insurance

EOB

Explanation of Benefits

ERA
​​Electronic Remittance Advice, the electronic transaction that provides claim payment information

CMS 1500 Form
The standard claim form used by a non-institutional provider or supplier to bill Medicare carriers

Invalid Claim
Information is missing which will prohibit claim submission

NPI#

National Provider Identifier - used for healthcare providers

Paid (Claim Status)
Payor has approved

Partially Paid (Claim Status)
Payor has not paid the full amount expected on the claim

Payments Dashboard

Kinetik RCM tab where providers can view ERA and EOB files

Payor / Payer

Within Healthcare, “Payor” is typically used to describe an organization that is responsible for making payment for healthcare services rendered.

PDF File
A common file type for viewing documents

Prior Authorization

An approval code that may be required by certain payors before an NEMT ride.
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RCM
Revenue Cycle Management

Ready to Bill (Claim Status)
Claim is created in RCM and is ready to be sent to the payor

Reference Number

Processing number that payors use for adjudication (how the payor recognizes individual claims)

Rejected (Claim Status)
Payor will not pay this claim

Remote Claim ID

Unique identifying number used in RCM (for some Payors, it is also the invoice number)

Submitted (Claim Status)
Claim has been sent to the payor

Subscriptions

Tab that shows payment methods and past invoices for Kinetik

Warnings

Issues where information received on the RCM platform is not matching data provided by payors or roster files.

Webhook

Automated code sent between apps when something is triggered (e.g. a map application updating your position on a car-ride application).

Still need help? Send us an email at support@kinetik.care, start a live chat on the platform, or call us at 631-593-2594 ext. 1. We're available from 9a-6p Eastern Standard Time.