Process Report
Payor Response
Error Report
Summary Report
  MedCom Claims Home
MedCom Home
TransMedic Home

The following is an example of a 'Payor Response Report'  (*Feel free to PRINT this report)

*********************************************************************************

PAYOR RESPONSES FOR : SMITH, STEVEN, MD 07-15-94 11:43am

*********************************************************************************

Payors responses to previously transmitted claims are received and displayed on your computer within days of transmitting claims.

The following are examples of some typical `PAYOR RESPONSES' :


PAYOR RESPONSE : "COMPLETED CLAIM"

This status information was received regarding a claim from your office.

Insurance Company : METROPOLITAN LIFE : (800)338-4187

Patient Name : G. GRITTLE

Date of Service : 06-28-94

Total Charges : 145.00

Message : DUPLICATE CLAIM


PAYOR RESPONSE : "REQUEST FOR INFORMATION"

A request for more information was received regarding a claim from your office.

Please send the requested information to the address listed below.

Insurance Company : PRUDENTIAL : (800)544-4778

Patient Name : B. MATHEWS

Insured Id : 7665332109

Date of Service : 07-08-94

Total Charges : 122.00

Message : REQUEST: PENDING: ADDITIONAL PROCESSING REQUIRED AT CARRIER SITE

                NO FURTHER UPDATES TO FOLLOW

Carrier Ref : P94771678211178