tracelogoRBResearching Claim Status

Claim Status Inquiry Final

 

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.

 

 

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 Service Representative for assistance. To request claim status assistance, please email your Service Representative and provide the patient's name, subscriber ID, date of birth, and date of service.  

 

Prior to requesting claim status from HNS, if the claim is a CIGNA or BCBS claim, always check the payor website to see if the claim was received and is processing or has been paid (i.e. - Blue e or the CIGNA Website for Healthcare Professionals). If the payor website indicates the claim has been paid, you can expect payment in the next scheduled HNS EFT.  If the payor website does not indicate the claim has been received, contact your HNS Service Representative for assistance.

 

 

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 Service Representative 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. 

 

 

 

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

    a.  Please change the view to 180 days to show all batches
         submitted for the past 180 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:

         Provider 
         Patient First Name
         Patient Last Name  
         Patient Date of Birth
         Batch ID Number
         Claim ID
         Insured Last Name
         Insured First Name  
         Date of Service  
         Date Submitted

  5. Click the "Search" button to execute the search.
  6. Click on the "Claim ID" (starts with clm...) to display detailed information about the claim. The claims are viewed on a CMS 1500 claim form.

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 website to verify if the payor has received your claim.

 

  • If the payor website indicates the claim is processing, 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 email your HNS Service Representative for assistance.  In your email, always include the name of the provider, the full name of the member, the member's subscriber ID number, the member's date of birth, and the date(s) of service at issue..

 

To research claim status with CIGNA HealthCare of North and South Carolina, pleasevisit the CIGNA Electronic Solution section.

 

 

To research claim status with BCBS of North Carolina, pleasevisit the BCBS Electronic Solution section.

 

 

For tracing all other claims that are over 30 days old, please email your HNS Service Representative for assistance. Please remember to include the following information when requesting assistance:

 

  • 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) and/or HNS' NPI instead of your own.

 

  1. The HNS EIN is 56-1971088
  2. The HNS NPI number is 1093773392

 

Our managed care partners list the HNS “participating providers” under the HNS master tax number/NPI in their systems and using the HNS EIN and/or NPI will be the only way to get the answers you need.

 

For any questions relating to the payment of a claim, email your HNS Service Representative for assistance.