After a claim is submitted, a claim status response will come from eMedNY. This response is either that the claim was Approved, Denied, or Pended.
Approved means a claim was Paid by eMedNY.
Denied means eMedNY wasn’t able to process the claim.
Pended means the claim has not yet been Approved or Denied.
The best way to find claims that are not paid in full is by using the Status Filter.
The Billing Summary tells how many claims were billed per day, as well as the total, paid, and balance amounts.
1. Select the Batch History tab in MedBatch.
3. If a day shows an amount in the Paid column and an amount in the Balance column, then a claim on the date was either Pended or Denied.
4. Selecting any of the blue links in the Date column will open up the claims grid for all claims on that date.
Status Filter, Approved, Denied, Pended, No Status, Bill Claims, Not Approved, Unpaid Claims, Not Paid, Remittance