How to Transmit eClaims

Electronic claims (eClaims) with a status of Queued are transmitted automatically by Sensei Cloud at regular intervals every day. For these claims, no additional interaction is needed.

(Location > Claims > Claims Management)

Claims with a status other than Queued  (such as Printed, Needs info, Awaiting Attachments, etc.) do not transmit with the batch. 

For example:

• If a claim was posted with a procedure code that demands an attachment, it goes to Awaiting Attachments status. Once the attachments are added, the status changes to Awaiting Attachment Confirmation.
• The Needs Info status is displayed when required information is missing for a claim. You can select the Edit Addl Info button and update the required information and then click Save Changes & Submit. Note: If nothing needs to be added, just select Save Changes & Submit.
• A Printed status indicates a claim was printed for the purpose of manual submission.

Once the updated claim is picked up by the transmission process, the status is changed to Submitted. 

Note: You may notice a delay in the status change as the process occurs.

For more information, see the following articles:

• How to Manage Claims for a Location
• Common eClaims Rejection Reasons