Text Size   

Search Claims

Search criteria allows you to search for a claim and check the status of that claim.

At least one search criteria must be entered to start the search. Additionally, some fields may be enabled or disabled depending on the search criteria you elect to use, and some fields may be required once they are enabled. Errors that prevent a successful search display at the top of the page.

You may be able to view the Remittance Advice (RA) for claims in Paid or Denied status.

Search Claims

1. Enter search criteria. At least one field must be completed to start the search. You can search for a claim by claim information, member information, or service information.
2. Click Search.
3. Claims that meet your search criteria are displayed. If more than one page of results is available, click the page number (such as 2 or 3) to see search results on that page. Ten claims display per page. The total number of claims that meet your search criteria is displayed above the search results, on the right side of the panel.
4. Click the icon next to any claim in the search results list to display more detailed information about that claim. Click the icon to collapse the details.
5. Click Reset if you want to start a different search. The search results previously displayed disappear and all search criteria fields are cleared.

Additional Help

If you need additional help, call Customer Assistance or your provider representative.

Consult the Claims and Billing Procedures Modules for Claim Submission help.

Basic Information on using HealthCare Portal.