For Primary Claims there are 5 claim statuses:

Pending - When an Event is Marked as Attended

Submitted - When the claim has been submitted to the clearinghouse

NOTE: Once Submitted, if an ERA is received through TiQ, the statuses automatically change on the log. If an ERA is not received through TiQ the status can be changed manually‍

Paid - When the insurance of the client has made a payment for the submitted claim

Rejected - When errors are detected during clearinghouse validation, the claim is prevented from being sent to the insurance payer.

‍Denied - When the claim has successfully passed through the clearinghouse and reached the payer, but the payer declines payment due to identified issues.

NOTE: "Paid," "Denied," and "Rejected" statuses apply only to submitted claims.

For Secondary Claims there are 6 claim statuses:

Pending Primary - When secondary claim is waiting for primary claim ERA to come back to the platform.

Ready to Submit - Once the ERA comes back into the platform the secondary insurance claim status is going to be changed to ‘Ready to submit’.

Submitted - When the claim has been submitted to the clearinghouse

NOTE: Once Submitted, if an ERA is received through TiQ, the statuses automatically changes on the log. If a ERA is not received through TiQ the status can be changed manually‍

Paid - When the insurance of the client has made a payment for the submitted claim

Rejected - When errors are detected during clearinghouse validation, the claim is prevented from being sent to the insurance payer.

‍Denied - When the claim has successfully passed through the clearinghouse and reached the payer, but the payer declines payment due to identified issues.

NOTE: "Paid," "Denied," and "Rejected" statuses apply only to submitted claims.