There are 2 reports that correspond to 2 stacks, one of these two lets call pay/deny and the other lets call open/pend. Each line is a claim and each has a sequence number (among other numbers and things used by other folks). I use the sequence numbers (1, 2, 3348, 349 ect.) upper left corner of the worksheets and on the left side of the report corresponding w/ that stack.

Starting with the Pay/deny stack, the report that relates to that stack tells me (example seq. numbers) 1-4 are Adjustments (I pull those out and put a dated coversheet on that that says  Institutional Adjustments) then 5-16 are something else until I get to 16-25 are Institutional COB (I pull those out and put a coversheet on) and continue. 
First Stack (pay/deny) are sorted for:
Institutional Adjustments
(Sometimes) Institutional  1034
Institutional COB
Professional (physician) Adjustments
(Sometimes) Professional (physician) 1034
Professional (physician) COB

THEN: Everything else in the pay/deny stack that is Institutional (becomes an uncovered stack) and Professional (physician) (becomes another uncovered stack). Both get a colored sheet on their bottom to separate that pay/deny part from the open/Pend (the second stack) that will go underneath them.

Second stack worked is the open/pend and same principles apply  but the ones here are being added to (and go BEHIND) the ones youve already got with the dated coversheet (above). No colored paper between them is needed, that is only for the uncovered stacks. This applies to all the ones youve previously separated in the first stack.
Sorted out are:
Institutional Special Handling
Institutional Adjustments
Institutional Eligibility Pending
Institutional 1034
Institutional DF1083
Professional (physician) Special Handling
Professional (physician) Adjustments
Professional (physician) Eligibility Pending
Professional (physician) 1034
Professional (physician) DF1083

Everything that is NOT those things (none of the above) are put into that uncovered stack w/ the paper on its bottom, in sequence order, under it. 
In the end there will be 2 of those other/none of the above stacks, one for institutional and one for Professional (physician), the pay/deny in sequence order at the top and a colored separation paper, then open/pend in sequence order. Everything comes in sequence order anyways so this is not difficult if you always work downwards and add to the stack to its bottom. 

Also, both Special Handling gets a report that is generated on AS400. (That has a process in itself).

These are distributed and further sorted by Nicole and (maybe sorted also) by Ludy and a few others who work these sheets.

Institutional Special Handling - Ludy
Institutional Adjustments - Nelita
Institutional Eligibility Pending - Brenda
Institutional 1034 - Masayo
Institutional DF1083 - Masayo
Professional (physician) Special Handling - Nicole
Professional (physician) Adjustments - Myrtle
Professional (physician) Eligibility Pending - Brenda
Professional (physician) 1034 - Masayo
Professional (physician) DF1083 - Masayo

This process takes between 20-30 minutes and must get done ASAP in the morning so they can get to those who are mostly half here by 6am and ready for this to be part of their workflow!
