Find Existing Claim

Once a claim has been Finished or Saved as Draft, you may use the Find Claim pages to view, edit or delete the claim. Opening the main Find Claim page will display all the claims in the system, which have not been sent for processing, or have been sent within the past 90 days.

By selecting a User ID from the Claim(s) by User ID list, an Administrator or Supervisor may have visibility to all claims entered for the selected provider by the selected user. General Users do not have visibility to claims entered by anyone other than themselves and therefore will not have this option.

By default, the claims will be displayed in the order they were entered into the ePACES system, with the newest claim at the top of the list. You may sort the displayed records by any data element simply by clicking on the arrow in the column header; if the arrow is white that is the column by which the table is currently sorted. Clicking on the Back button or Find Claims will return the data to the default sort order.

To find the claim in which you are interested, you may either navigate through the list using the <<Previous Page and Next Page>> controls located at the top and bottom of the table or you may filter the claims displayed based on any of the six data elements in the table: Patient Control Number An identifier used in provider's billing which uniquely identifies a patient visit. , Entry Status, Client ID A unique 8-digit Medicaid assigned recipient identifier serving to permanently identify data pertaining to an individual. Format: AANNNNNA, where A is alphabetic and N is numeric. , Client Name, Type of Claim A claim may be one of the following: Professional, Institutional, or Dental. The type of claim will drive the fields displayed and required when entering claims. Companion Guides, Trading Partner Agreements, On-Line Help, and Provider Relations training will guide the user in selecting the correct claim type. , or Begin Date.

Patient Control #: The hyperlinked Patient Control Number, also known as the Patient Account Number, will bring you to the corresponding claim. The status of the claim will determine how the claim is displayed: view-only or editable.

Entry Status: The status of the claim is displayed for informational purposes. A claim may be in one of 7 states: Draft, Errors, Complete, Batched, Sent, Replaced, or Voided. Clicking the hyperlinked Errors will open the page of errors for the selected claim.

Client ID: The Client ID associated with the claim is displayed and may be used as a filter to find a specific claim.

Client Name: The Full client name will be displayed (First Name, Middle Initial, Last Name) however when applying the Client Name filter, only the Last Name will be used.

Type of Claim: A claim may be one of four types: Institutional, Professional, Real Time Professional or Dental, and may be used to filter the list. You may enter either the complete word or just the first letter of the claim type to filter the list of claims.

Begin Date: For Institutional and Professional claims for which Service Lines may have a Service Date Range, this value represents the From Date on the first Service Line. For Dental claims that only have a single Service Date for each Line, this represents the Service Date of the first Service Line. The format of the date is: MM/DD/YYYY.

NOTE: When applying a filter to the list of claims, for all fields other than Type of Claim, whatever value is entered in the text field is matched exactly to the values in the data type field selected. Therefore, if "Client Last Name" is selected and "Jeff" is entered into the text box, the results page will be opened with only claims where the Client's last name is "Jeff", variations such as "Jeffries", "Jefferson", or "Jeffers" will not be displayed.

Clicking on Clear Results will clear out the filter and return all claims in the system in the default sort order.