Confirm Claim Batch Submission
Confirm Claim Batch SubmissionUpon submitting batches to eMedNY, a confirmation page will be displayed containing the details of the batches which were just submitted. Clicking View Previously Submitted Batches will display a table containing all the batches that have been submitted within the last 90 days. The batches will be listed in reverse chronological order by Submit Date.
Click the View Previously Submitted Batches link and a table of information for previously submitted batches will be displayed. For each batch listed, the following data will be displayed:
Batch Number: This is a unique, sequential number and batches will be displayed in descending order of Batch Number to allow the newest batches to be located at the top of the list. Clicking this hyperlink will open the View Batch page allowing you to see the details of the claims contained within the batch. A corresponding error message for rejected claims within the batch will be displayed.
Submit Date: The date on which the batch was submitted. Displayed in the MM/DD/YYYY format.
Type of Claim: For informational purposes only, the type for all claims contained within the batch. Each batch may only contain claims of a single claim type.
Total Claims: The total number of claims contained in the batch.
Total Batch Charges: The total dollar value of charges for all claims contained in the batch.
Total Rejected: Once the 997 response is received from eMedNY for a batch submission, the total number of claims that were rejected in the batch will be displayed. This will allow you to determine if the batch has been received for processing.
The following View Batch screen will display when clicking the Batch Number hyperlink under View Previously Submitted Claim Batches:
The following screen will display when the Details hyperlink is clicked:
This will return any initial response for front end edits. If there is no Initial rejection the screen will display a message of: No Responses Found, Please Submit a Status Inquiry. This means that normal processing time should be allowed and then proceed to check status inquiry/status response for the claim(s). If there was an initial rejection, the fields on this screen will be populated. You will need to click on Details for each claim within the batch in order to see if there was a front end edit for any of the claims.
Client ID/Name: This information is included for reference purposes only to ensure you are selecting the proper claim.
Claim Level Status: This field will show Pre-adjudication editing at the claim level.
Bill Type: This value identifies the type of facility where services were performed.
Patient Control #: The Patient Control Number as it was entered on the claim.
Pharmacy Control #: If there was a pharmacy claim control # on the claim, it will display here.
Payer Claim Control #: The payer assigned number used to uniquely identify each claim. This will still be assigned even though the claim contains an initial rejection and did not process as paid/pended/denied.
Total Claim Charge Amount: This field reflects the total charges on the claim.
Paid Amount: If the claim has not been finalized for payment or payment has not been authorized, this field will remain at $0.00.
Dates of Service: This field reflects the date(s) of service entered on the claim.
Status Effective Date: This date represents the effective date for the associated initial claim status.
Line Level Status: These fields will remain blank if any Initial Claim Status/Response will apply to the claim level. If there is Pre-adjudication editing on the line level, it will display here.
