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The Claim Summary page shows all the information you have entered for the claim on one page. The information is grouped in sections that represent the information entered on each page. Information in the Injured Party section cannot be changed. The Insurance Type and CMS Date of Injury (DOI) cannot be changed once a claim has been submitted. If you need to change this information, you will need to start with a new claim.
Review the information before you submit the claim. If you need to change information, click on any of the section titles above the summary to return to that page. When done, click Continue to eventually return to the summary.
The following table describes the claim statuses and which command buttons are available depending on the status of the claim:
Claim Statuses and Commands
| Field | Description |
|---|---|
| New | For newly added claims, clicking Submit Claim changes the claim’s status to New and designates the claim for processing. Any changes you make while the claim is waiting to be processed will be included in the same transaction. If you have not previously submitted the claim, your transaction count will not decrease. If you are correcting an error on a claim that was returned with a disposition of SP (i.e., errors were returned on the claim submission), your transaction count will not decrease. If you are submitting changes to a completed claim, your transaction count will be reduced by one. |
| In Process, Saved Not Submitted, or Completed | Submit Claim will only appear if changes have been made to the claim and the user has returned to the Claim Summary page. When this action is taken, the claim’s status changes to New and designates the claim for processing. If you are correcting an error on a claim that was returned with a disposition of SP, your transaction count will not decrease. If you are submitting changes to a completed claim, your transaction count will be reduced by one. |
| Deleted | Claims marked as Deleted are retained in history but cannot be edited. If a claim needs to re-created, you will need to add the record as a new claim. |
| Commands | - |
| Cancel | Click to open the Cancel New Claim? dialog. Click Cancel on the dialog to cancel the claim updates. Any information you entered will not be saved. |
| Save | Click to save the information that you have entered and continue working on this page. The save will trigger edits if the information you have entered contains format or consistency errors. Save will only display if changes have been made to the claim and the user has returned to the Claim Summary page. When this action is taken, the system will save all changes made to the claim. The status of the claim will change to Saved Not Submitted. You can then submit the claim or wait to submit the updates until later. Claims in Saved Not Submitted status are maintained on the system for 30 days. After the 30 days elapse, the claim status will change to Deleted. You will have to enter the claim again if you still need to report the information, and your transaction count will be reduced by one. |
| Save & Exit | Click to save your work to finish later. The application will save any information you have entered that does not have a data format error and return to the Claim Listing page. This information will be available for 30 calendar days before it will be deleted. |
September 2024
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