Claim Status Inquiry

Managed care payment cycles can be difficult to predict and manage without access to accurate and up-to date claim status information. Without efficient means to determine payment, physician offices and hospitals are required to expend additional staff time on the phone to determine the status of submitted claims.

To streamline this process, MedData has developed a means to automate the process of determining claims status by allowing our clients to provide us a batch of submitted professional or institutional claims in a variety of industry formats including ANSI 837 and some older formats. We create a series of compliant ANSI X12 276 claim inquiry transactions from the batch claim file and submit it to the payer for determination of status. MedData then provides a both a data file and a detailed claim status report back to the client, showing the status of each claim by payer, by patient and by facility. For those facilities that have a growing volume of claims, this service will provide an efficient means to manage the accounts receivable workflow. We also offer a claim inquiry interface for individual claim inquiry lookups.