Claims: Status

This article outlines the various claim statuses available in the system.

Once a claim has been submitted, you may click on the Status tab to track events. As Sessions Health receives information from the clearinghouse, we also include the clearinghouse responses for more detailed information. When a claim is first created, we'll check the status at the clearinghouse in 6 hours. After that we check for status updates every 6 hours.

Status

The status of a claim can be one of the following:

1. Not Submitted - the claim has been created but not yet submitted.
2. Queued for Submission - this is when a user has clicked the Submit button, but that claim has not yet not sent out to our clearinghouse. There’s a 1-hour delay from when a claim is submitted until we transmit it to allow time for changes.
3. Submitted - the claim has been submitted to the clearinghouse.
4. Submitted Externally - the claim has been marked as being submitted outside of Sessions Health.
5. Reopened - a previously submitted claim that has be reopened by a user on the account, but has not yet been submitted again.
6. Rejected - when the clearinghouse or payer has rejected the claim before processing it.
7. Denied - when the payer denies the claim.
8. Processed - when the claim has received remittance / ERA for all services.
9. Voided - a canceled claim (has been Voided by a user on the account).

If you have any questions or need more assistance, please contact support@sessionshealth.com