Sometimes, in order to reference a claim, ERA, or eligibility inquiry to Claim.MD Support, you will want to add an example to an existing support ticket.  Follow the steps for appending a claim, ERA, or eligibility example to a

South Carolina BlueCross BlueShield (SC BCBS) Payer ID Mapping South Carolina BlueCross BlueShield (SC BCBS) uses distinct payer IDs for each plan type, which differ slightly from the payer IDs used within Claim.MD. This reference table helps identify the

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

07/01/2008 N447 Payment is based on a generic equivalent as required documentation was not provided. Start: 07/01/2008 N448 This drug/service/supply is not included in the fee schedule or contracted/legislated fee arrangement. Start: 07

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. 

Medical claim status codes are standardized codes used to provide information about the current status of a medical claim. These codes are typically defined by organizations such as the Health Insurance Portability and Accountability Act (HIPAA) and the American National

The Payer Specific Bill ID/Submitter ID for Wyoming Blue Cross is a unique identifier that ensures accurate claim submission and processing for healthcare providers working with this specific payer, helping to streamline reimbursements and maintain compliance with Wyoming's

Support Ticket The most efficient way to receive support from Claim.MD is to open a support ticket within the web portal. Login to your Claim.MD account and open a ticket . Please Note "Please Note" Support can only assist

of Billing This report tracks the number of days between the date of service and the last claim submission. Used to identify submission delays and optimize claim processing times. Report options: Claim Group, Time Frame. Payments / Adjustments This report

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

This article will explain the Claim History feature and how it will be your most effective tool in tracking and managing your claims. Show History / Notes Navigate to a claim from any claim list or claim search . Notice the  button

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 Payer Specific Bill ID/Submitter ID for North Dakota Blue Cross is a unique identifier that ensures accurate claim submission and processing for healthcare providers working with this specific payer, helping to streamline reimbursements and maintain compliance with North

The Payer Specific Bill ID/Submitter ID for Oregon Medicare Part B is a unique identifier that ensures accurate claim submission and processing for healthcare providers working with this specific payer, helping to streamline reimbursements and maintain compliance with Oregon

payment policies. Usage: If adjustment is at the Claim Level, the payer must send and the provider should refer to the 835 Insurance Policy Number Segment (Loop 2100 Other Claim Related Information REF qualifier 'IG') if the jurisdictional regulation applies

The Payer Specific Bill ID/Submitter ID for Alaska Medicare Part B is a unique identifier that ensures accurate claim submission and processing for healthcare providers working with this specific payer, helping to streamline reimbursements and maintain compliance with Alaska

This page allows users to view, download, and send Electronic Remittance Advice (ERA). After completing enrollment (see Provider Enrollment ), payers will begin submitting ERA to Claim.MD once the enrollment is processed. This process typically takes at least a week

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

Sanford claims must include a facility. Block 32 is required on all claims unless the place of service in 24B is "12" (Home).