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This screen is used to view network claim information.

***Clients with multiple client number access can view and search for claims from ANY of the client numbers permitted under their account.

Viewing a Participant's Information - Enter information into at least one of the search/filter fields just above the column headings (DOB must be used in combination with another search field). Press ENTER to click the SEARCH. Click on the row containing the participant's information to view their claims and coverage information.

• For clients with multiple group number access, the Group # search field can be used to narrow the list to a specific group.
• The Status field can be used to filter participants in an active or terminated status.  "All" is the default setting and will show both statuses.
  
• If the search criteria entered is too broad, the system will display a message requiring additional criteria to be entered.  This is done to keep the search time as fast as possible.

• Searching Claims - Claims can be filtered by typing in search criteria in the left Claim Search panel.
  • Click the Search button to execute the search process.
  • Once claim results are shown in the results list, the options listed below are available.
  • **The results table contains multiple columns and can be scrolled right/left using the scrollbar at the bottom of the results to see more columns.
• Questions - Use this option to ask questions or fill out forms related to a claim in the result list.  Claim(s) in the result list need to be selected by clicking the checkbox in the "ASK" column of the results row.
  • Question options can vary per client.
  • When the question form is displayed, complete all required fields, any optional fields as needed, and click the Save button to submit the question form.  A transaction ID will be displayed for tracking.  All previously submitted transactions (questions and forms) can be viewed from the My Account\My Transactions main menu option.
• Export to Excel - Use this option to export all claims currently listed in the grid to an Excel sheet (includes all pages in the grid).
• Paging -Claims in the grid are shown 10 at a time. The bottom of the grid contains the current page being viewed and the total number of pages. The page can be changed by using the forward or back arrows. A page number can also be typed into the current page number box followed by the enter key. The grid will then jump to the given page number.
• View - The View button provides a selection of claim related documents like Claim Forms and Repricing Sheets.
  • Select an option from the list to view the corresponding document (Not all documents are available for all claims).  

Viewing Claim Details

Click anywhere in the Search Results row of the claim to be viewed. This will pop up the claim detail screen.

• View - The View button provides a selection of claim related documents like Claim Forms and Repricing Sheets.
  • Select an option from the list to view the corresponding document (Not all documents are available for all claims).  
• How To Read Repricing Sheet - Click this button to view a help document related the contents of a repricing sheet.