The All Claims Tab indicates the current status of all batches that have been imported into Apex. The five main claim statuses are: File Received, Ready, Failed, Duplicate, and Processed.
The 5 Claim Statuses
File Received indicates that Apex has received the batch and is in the process of importing it. This is the first status for all claims.
Claims with a Ready status have been processed by Apex EDI and will be sent to the payer. These claims are indicated by a blue square in the Ready column.
Apex submits claims to the payer once per day. If you have submitted your claims to Apex and they are still in a Ready status the next business day, please contact Apex EDI support at either 800-840-9152 or firstname.lastname@example.org.
A Failed status means that something on a claim is missing or incorrect. These claims are indicated by a red square in the Failed column.
A Duplicate status usually means the batch contained two copies of the same claim. These claims are indicated by an orange square in the Duplicate column.
Processed claims have been sent to the payer. These claims are indicated with a green box in the Processed column.
If you need to make a change to a Processed claim, you can edit and resubmit it from the Claim Status Tab.