Navigation:  Getting Started > Processing an Electronic Claim

How can I process an Electronic Claim?

The HIPAA Claim Status Checker application makes it simple to process and view Electronic Claims. Follow the instructions below to open a single EDI file and display its details in an easy-to-read table format:

 

1.Go to File > Open in the main menu window.

 

 

Alternatively, click the "Open Document" icon in the Taskbar.

 

 

2.Browse through the folders and select a 276 file. Then, click "Open."

 

 

Note: Only files in "ANSI 276" format can be opened with the HIPAA Claim Status Checker application. An error message will be displayed if you select a file in a different format.

 

 

3.Select one of the options in the "Output Mode" box. In our example, we selected the "Screen" mode.

 

The "Output Mode" box is in the Info Bar.

Note: You can choose the output mode but not the claim type; this is automatically set. If you have the EDI Exchange component licensed, you will have the option to run a HIPAA compliance check before processing a file.

 

4.The file is now open. Click the "Run" button in either the Taskbar or at the bottom of the Info Bar to process the file.

 

You can process claims by clicking "Run" in the Taskbar or the Info Bar.

 

5.When you click the "Run" button, the file will be parsed and the information displayed. Since in our example the output mode is "Screen," the claim is displayed in a separate window. See Displaying Claim Status Requests.