End-to-end claim lifecycle visibility for providers and payer staff. Citizens may see payment status summaries on prescriptions / OP billing artefacts when enabled.
Submitted · Facility NMR
837 institutional equivalent bundle ACK
Pended — DRG grouper mismatch
Remittance advice (ERA) not yet issued
| Claim | Member | State | Next action |
|---|---|---|---|
| CLM-884021 | ****2841 | Pended | Clinical coders @ hospital |
| CLM-883902 | ****5512 | Paid | ERA dispatched |