Health Network Solutions, Inc. : ClaimStatusInquiry

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Claim Status Inquiry

claim status inquiry

HNS is here to assist you with tracing any unpaid claims; however, before requesting our assistance, please make sure you have FIRST posted ALL HNS payments to your patients' accounts.

Please note, if you have not received payment or an EOB within 30 business days from the date the claim was filed, please do not re-file the claim until the claim status has been researched.

To research claim status, please follow the steps outlined below or you may contact your HNS Provider Rep for assistance. To request claim status assistance from your HNS Provider Rep, you must use the HNS Fax Inquiry Form and fax your request to HNS.

Please remember that not all payors pay within the same time frame. Some plans pay within a few business days while others may take several weeks. Your HNS Provider Rep will be glad to assist your office with checking claims status; however, we cannot trace claims before 30 business days from the date the claim was submitted to HNS.

As a first step, you should always verify that HNS has received your claim. If you submitted the claim through HNSConnect^® , please follow the steps below to verify that the claim was submitted and that it did not error back to you for correction. Please note, claims with errors on HNSConnect^® will not be submitted to the payors until all errors have been corrected and the claims have been resubmitted to HNS.

To verify that the claim was submitted to HNS:

1. Log onto the HNSConnect^® system, click here.

2. Click on "Check Status" link in the Menu bar to view all submitted batches on HNSConnect^®.

a. Please change the view to 90 days to show all batches submitted for the past 90 days. This will allow you to view any batches that have claims with errors.

3. If you have any batches with errors, first make sure that all such claims with errors have been corrected and resubmitted. If your claim still shows 'ERROR' status, please correct the claim and click "Submit." This will send the claim to the HNS Claims Processing System to be transmitted to the payor.

4. If you do not have any batches with errors, click on the "Search Claims" link on the Menu bar. Search for the claim that you are tracing. When searching for claims, you may use any combination of the following fields:

a. Provider

b. Patient First Name

c. Patient Last Name

d. Patient Date of Birth

e. Batch ID Number

f. Claim ID

g. Insured Last Name

h. Insured First Name

i. Date of Service

j. Date Submitted

5. Click the "Search" button to execute the search.

6. Click on the "Claim ID" (starts with clm...) to display detail information about the claim. The claims are viewed on a CMS 1500 claim form.

Please note: You will not be able to change any information on this claim. This is a read-only version of the claim that was previously submitted through HNSConnect^®. If your claim has been submitted through HNSConnect^® and has no errors, please check the payor web site to verify the payor has received your claim. If the claim is processing at the payor, please be patient and wait for the next HNS remittance packet. If the payor has not received your claim, but you show that you have submitted it through HNSConnect^®, please use your HNS Fax Inquiry Form to fax your HNS Provider Rep for assistance.

To research claim status with CIGNA HealthCare of North and South Carolina, please CLICK HERE to visit the CIGNA HealthCare Electronic Solution section.

To research claim status with BCBS of North Carolina, please CLICK HERE to visit the BCBS Electronic Solution section.

For tracing all other claims that are over 60 days old, please complete your HNS Fax Inquiry Form and fax the completed form to your HNS Provider Rep. Please remember to include the following information when requesting assistance from your HNS Provider Rep:

Patient Name and Insured's Name (if applicable)

Patient Date of Birth

Insurance Plan

Member ID Number

Date of Service

If you contact a payor directly (either to verify benefits or to trace a claim) and you are told that you are “out-of-network”, please use the HNS master federal tax number (EIN) instead of your own EIN. The HNS EIN is 56-1971088. Our managed care partners list the HNS “participating providers” under the HNS master tax number in their systems and using the HNS EIN will be the only way to get the answers you need. If they need HNS's NPI number, it is 1093773392.

For any questions relating to the payment of a claim, use your HNS Fax Inquiry Form and fax your request to your HNS Provider Rep.