At Claim.MD, it's not uncommon for users to see an ERA (Electronic Remittance Advice) available under the "View ERA" section, but not see it reflected in the claim's payment history. This can be confusing—especially when the

Occasionally, adding documents such as a Member/Insured ID Card, Payer Explanation of Benefits (EOB), or similar documentation to an existing support ticket is required. This step aids in verifying Payer ID Numbers, a standard part of our procedure, or

obligation with respect to claims processed on behalf of your benefit plan. Start: 01/01/2000 N26 Missing itemized bill/statement. Start: 01/01/2000 | Last Modified: 07/01/2008 Notes: (Modified 2/28/03, 7/1/2008) Related to

for each ERA to download the full details including claim data, payments and adjustments. The ERA details can be downloaded in any of these formats: /era835/ Download the remittance in the standard 835 data format. /erapdf/ Download the remittance in

The Manage Claims page highlights claims requiring attention.  Click on Manage Claims in the left-hand navigation menu. Graphs Recent Uploads Graph The Recent Uploads graph displays claim activity over the past seven days , grouped by status. It helps users

Payer Specific Bill ID/Submitter ID This payer requires a payer assigned ID number. This value can be sent in block 33b, bill_id Loop 2010AA, REF02, REF01=G2. 

not an eligible dependent. Start: 01/01/1995 | Last Modified: 03/01/2018 33 Insured has no dependent coverage. Start: 01/01/1995 | Last Modified: 09/30/2007 34 Insured has no coverage for newborns. Start: 01/01/1995

Important These reports are specifically about claims processed through Claim.MD. If you receive a payment reference with an Electronic Remittance Advice (ERA) for a claim handled by Claim.MD, it provides details about that particular payment. Importantly, Claim

Account Settings is where system-wide changes are made.   More Information Only an Administrative User can access the Account Settings page. Monthly Subscription  This will change the account service plan. (See Full plan pricing and details page for more information

Situational XML / JSON Field mod1, mod2, mod3, mod4 X12 Loop / Segment SV202-3 through SV202-6 (Modifiers) Allowed Values 2 characters Notes Field Name Service Date Description  "Dates of Service," is the date when services were first provided. Paper

The Manage Users page in Claim.MD enables administrators to create, delete, and manage user access and permissions. This ensures that only authorized individuals can access sensitive information and perform critical tasks. Access to this page is restricted to administrators

This section helps verify a patient's insurance coverage, determine covered services, and identify any co-payments or deductibles the patient may owe. Steps to Check Eligibility      Navigate to Eligibility in the left navigation menu.      Select a Provider from the

claims by clicking the Approve Transmit button. d. A pop-up will confirm the number of claims marked for transmission (e.g., "51 claims are marked to transmit"). Click OK to clear the pop-up. Turning Off Transmit Approval Required

Start: 02/28/1997 320 Study models. Start: 01/01/1995 322 Recent Full Mouth X-rays Start: 01/01/1995 | Last Modified: 10/17/2010 323 Study models, x-rays, and/or narrative. Start: 01/01/1995 324 Recent

For Maine Medicaid, the "Service Location" ID (or Facility ID) in the Facility block 32 ( 2310C ) must be an alphanumeric value formatted as "xxxx-xxx" with a dash. Inquiries for Maine Medicaid For more details on Maine Medicaid 837P protocols

Other Carrier Codes When sending secondary claims to South Carolina Healthy Connections Medicaid , or when passing an other payer ID, this payer requires their proprietary payer ID's (Carrier Code). Reference the South Carolina Medicaid Carrier Codes page for a

Note A maximum of 10,000 claims will be accepted in any one file, regardless of the file format. Any claim data sent beyond this quantity will not be processed. To submit more thank 10k claims, split the claim data