Claim Status Inquiry

1. • click Find and select multiple claims to check on the main Inquiry page,

   • a page displaying a table of claims which have been sent for processing by the NY State MMIS will open,

   • Administrators and Supervisors may inquire on all claims entered by any user for the selected provider by selecting a User ID from the Claim(s) by User ID list. General Users with the ability to submit Claim Status Inquiry requests do not have visibility to claims entered by anyone other than themselves and therefore will not have this option.

   • mark the desired claims to be included in the inquiry,

   • • filter the complete list by Patient Control Number, 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 Last 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 Batch Submit Date Date on which the claim was batched and sent to the Payer. If this field is blank, the claim may have been batched, but has not been sent to the Payer. ,

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.

1. • • sort the list by one of the column headings to ease the manual search process,

   • once all the claims in which you are interested have been marked, click Submit Claim Status Inquiry,

   • • NOTE: No more than 99 Claims may be inquired upon at once.

   • a confirmation page will be displayed indicating the number of Claim Status Inquiries you just submitted.