Locating a claim

You can locate a claim by claim type, date, member number, and/or claim number. To locate a claim:

Click Search.
The Search screen appears. Select or enter information for one or more of the following fields:

Include — select the type of claims you would like to locate: Claims Submitted (the default), Claim Payments, Information Requests, Pre-treatment estimate, or Pending Submission.
When the claim type selected is Claim Payments, only Start Date and End Date are available.
Start Date and/or End Date — enter dates to limit the results to claims received within that range. Maximum date difference between Start Date and End Date is 90 days.
Member Number — enter the member number associated with the claim(s). In most cases, the member number is the same as the subscriber's Social Security Number. A few groups have elected to assign their own identification numbers to their members; if this is your case, use that assigned number.
Claim Number — enter the claim number. (If using this field, you do not need to enter information in the other fields.)

Click the Search button.
The claim search results appear at the bottom of the screen. Click the claim number of the desired claim to view claim payment information (or, if a pending claim, see Working with a pending claim.

Last updated 04/30/2014