Claim status reports from hcrnet and insurance payers are available online within 24 hours. The HCRnet reports, after each claim scrubbing and editing, are posted online; 277 and other reports from the insurance payers depending on its availability from the payers. When hcrnet receives electronic claims from providers, each claim is checked at the clearinghouse for format and syntax errors. If hcrnet identifies an error, the claim is rejected by us and is NOT sent to payers. hcrnet will provide you with a claim status report, listing the error reason for each rejected claims within a few minutes of the claims submitted and this lead to early correction and resubmitting the claims.
If an EDI claim passes the hcrnet clearinghouse edits, it is then forwarded to payers or other clearinghouse. When payers or other clearinghouse receive an 837 claim file from the hcrnet clearinghouse, the claims are checked again for errors. If payers identifies errors in a claim, that claim is rejected by them and claim status information is sent to us. hcrnet, in turn, will provide you with a claim status report, identifying claims rejected by payers. When hcrnet rejects or receives a rejected claims, will help to find the error and correct it and resubmit it asap or provide the information to providers and make the correction accordingly and resubmit it asap. hcrnet posts online reports of rejected claims and codes and reasons for rejections.