After submitting a claim, you can check the status online. In doing so, you can verify if your claim has been received, pended or finalized. Additionally, you can verify the descriptions for any claim denials.
You or your billing agent can obtain real-time results by checking claim status through the Availity® Claim Research Tool or your preferred vendor. The Claim Research Tool provides the equivalent of an Explanation of Benefits (EOB), including line item breakdowns and detailed denial descriptions. All results are printable and can be used as a duplicate EOB for another insurance carrier when requested.
For government programs claims, check claim status online by submitting a Claim Status Inquiry via the Availity Provider Portal , or submit an electronic claim status request (276 transaction) via your preferred vendor portal. If you do not have online access, call provider customer service to check claim status or make an adjustment.
Note: If your claim did not process the way you anticipated, it is important that you do not submit a duplicate claim for the same patient. Duplicate claims typically result in additional denials.
If you have determined that a corrected claim is needed, submit the claim as an electronic corrected claim with the appropriate claim frequency code. For additional information, refer to Electronic Replacement/Corrected Claim Submissions .
Email our Provider Education Consultants. Be sure to include your name, direct contact information, tax ID or billing NPI.
Availity is a trademark of Availity, L.L.C., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX. BCBSTX makes no endorsement, representations or warranties regarding any products or services offered by third party vendors such as Availity. If you have any questions about the products or services offered by such vendors, you should contact the vendor(s) directly.