ClaimConnect is designed to help you create a claim that is free of common errors, which speeds reimbursement. The claim must pass our validation system before it is sent to the payer (insurance company). If your claim has information that is missing or does not conform to industry standards, it will be flagged with a validation error and won't go to the payer until you correct it. To do so, click on the Validation Errors link in the Status column to view the specific errors for that claim, correct them and resubmit the claim.
Validation errors usually apply to the provider, patient or actual claim section of a claim. They can also apply to additional dental coverage information or, for MetLife claims, to invalid eligibility information for the patient.
Remember, these are the same types of errors that routinely delay your paper or other electronic claims, but ClaimConnect is catching them before the claims go to the payer. Once you become familiar with the most common types of errors, you will learn to enter complete information correctly upfront and avoid most errors. Your claims will be cleaner and you will be reimbursed more quickly - without paying any transaction fees.
See also:
Provider Section Errors
Patient Section Errors
Claim Section Errors
Additional Dental Coverage Information
Errors
Eligibility Errors