Requests

The Requests tab shows claims sent, which are also visible from the History tab. The top of the tab will show a bar graph of requests submitted during a specified date range. Search for submissions by entering Submission Time and then select the magnifying glass button.

Columns are displayed by Reference ID (select hyperlink to see the request), Status, Submission Time, TOB/Claim Type, Patient Name/PCN, Subscriber ID, Payer/Payer ID, Provider and Total Charges.

Acknowledgments

The Acknowledgments tab shows claims received, which are also visible from the History tab. The top of the tab will show a bar graph of requests received during a specified date range. Search for submissions by entering Time of Receipt and then select the magnifying glass button.

Columns are displayed by Reference ID (select hyperlink to see request), Status, Time of Receipt, Acknowledgment Source, Patient Name/PCN, Subscriber ID and Provider.

Remittances

The top of the Remittances tab will show a bar graph of remittance received during a specified date range. Search for remittances by entering the EFT Number, Effective Date range and then select the magnifying glass button.

Below the graph lists remittances received and details tied to those payments:

• Time of Receipt – This column shows the date and time the remittance was received and how long ago it was.
• EFT Number – This column will list the Electronic Funds Transfer number.
• Effective Date – Payments will have a specified effective date of when funds are available to retrieve.
• Payer – The insurance/payer associated with the remittance, plus the assigned Payer ID.
• Provider – The Branch associated with the remittance.
• Total Payment Amount – The sum of the remittance payment will be indicated, plus the total claims included in it.
• Reference ID – Select to see payments received and other details including the Remit Details, Claim Payment Advice and the Total Payment Amount.