Claims: Status
This article outlines how to track claim progress in Sessions Health and explains the claim statuses and event updates available on the Status tab.
In this article:
Tracking Claim Events
To check on a claim, open the claim details and click the Status tab. This page shows a chronological timeline of every update from the clearinghouse and insurance payer.
Key things to know when reading your status updates:
- Who sent the update (from Source): Look directly under the status message. A tag like from Claim.MD means the update came from our clearinghouse, while a tag with an insurance name means it came directly from the payer.
- First update you'll see: Once the clearinghouse gets your claim, the timeline will show Received by clearinghouse (Claim.MD).
- How often updates refresh: Sessions Health automatically checks the clearinghouse for new status updates every 6 hours.
Claim Statuses
A claim's status reflects its current state in Sessions Health:
- Not Submitted: The claim has been created but not yet sent.
- Queued for Submission: You clicked Submit, and the claim is in a 1-hour window before transmitting to the clearinghouse. This gives you time to make last-minute changes if needed.
- Submitted: The claim has been sent to the clearinghouse.
- Submitted Externally: The claim was manually marked as submitted outside of Sessions Health.
- Reopened: A previously submitted claim that was reopened for edits, but has not yet been resubmitted.
- Rejected: The clearinghouse or insurance payer rejected the claim before processing it.
- Denied: The insurance payer processed the claim and refused payment.
- Processed: Remittance / ERA has been received for all services on the claim.
- Voided: The claim was canceled or voided in Sessions Health.
Frequently Asked Questions
What is the difference between a claim status and an event message?
The claim status (e.g., Submitted, Rejected, Processed) shows where the claim currently stands in its overall lifecycle. Event messages under the Status tab provide the step-by-step history and raw responses received from the clearinghouse or payer.
Why is there a 1-hour delay when my claim is "Queued for Submission"?
The 1-hour delay gives you a window to cancel or edit the claim if you notice an error immediately after submitting, before the claim is officially transmitted to the clearinghouse.
Related Resources
For more information on insurance claims, check out these guides: