Submitting claims

Viewing and filtering claims, drafts, and predeterminations

You can view submitted claims for 12 months, and drafts for 30 days.

Submitting a claim for a new patient

If you haven't submitted on behalf of your patient before or it's been more than 18 months since your last submission, you will need to create a new patient.

Submitting a claim for an existing patient

If you've already submitted a claim on behalf of your patient, and you've submitted a claim within the last 18 months, you can search for the patient and then submit another claim.

Submitting a claim from a previous claim

You can create a claim based on a previous claim that was successfully submitted, and has received an Explanation of benefits or Acknowledgement response.

Submitting a predetermination

A predetermination request relates solely to services that have not yet been rendered. It is a request to obtain the amount that the insurer would pay if these services were provided on that same day. You should not submit a predetermination request if the service has already been provided.

Continuing a draft claim

You can resume working on a draft claim that was initiated within the last 30 days. After 30 days, draft claims are discarded.

Voiding a claim

You can cancel (or void) a payment request that has been successfully submitted, and has received an Explanation of benefits or Acknowledgement response. You can only void a claim on the day it was submitted.