From Primary Claims there are 4 claim statuses:

Pending - When an Event is Marked as Attended

Submitted - When the claim has been submitted to the clearinghouse

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

Note: 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

Not Paid - When the insurance of the client has NOT made a payment for the submitted claim

Note: Both Paid and Not Paid statuses are only for submitted claims.

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From Secondary Claims there are 5 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

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

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

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Not Paid - When the insurance of the client has NOT made a payment for the submitted claim

Note: Both Paid and Not Paid statuses are only for submitted claims.

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