The All Claims Tab indicates the current status of all batches that have been imported into the system. The five main claim statuses are: File Received, Ready, Failed, Duplicate, and Processed.
The Five Claim Statuses
| File Received File Received indicates that Apex has received the batch and is in the process of importing it. This is the first status for all claims. | |
| Ready Claims with a Ready status have been processed by the system and will be sent to the payer. These claims are indicated by a blue square in the Ready column. The system submits claims to the payer once per day. If you have submitted your claims to the system and they are still in a Ready status the next business day, please contact support at either 800-840-9152 or Clearinghouse.Support@ensorahealth.com. | |
| Failed A Failed status means that something on a claim is missing or incorrect. These claims are indicated by a red square in the Failed column. | |
| Duplicate A Duplicate status usually means the batch contained two copies of the same claim. These claims are indicated by an orange square in the Duplicate column. | |
| Processed Processed claims have been sent to the payer. These claims are indicated with a green box in the Processed column. If you need to make a change to a Processed claim, you can edit and resubmit it from the Claim Status Tab. |