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BC Physicians - What Does The Status of My Claim Mean?
BC Physicians - What Does The Status of My Claim Mean?

Explanation of Dr. Bill Claim Status

Megan Halstead avatar
Written by Megan Halstead
Updated over a week ago

Submitted to Insurer: This claim has been submitted to MSP. Depending on when the claim was submitted prior to the latest cut off, your claim could be processed for the next remittance. For a more detailed explanation of cut offs and remittance schedules please see  cut off dates and payment cycles

Submission Error: The claim has not passed the pre-edit process with MSP and therefore has not been officially received by MSP. Patient insurance issues are often the cause for this. Other examples could be a missing referring practitioner or incomplete times in the claim. Please see the specific claim details for a full explanation of what is missing. It is important to note that this claim has not been officially processed so the 90 day submission deadline has not yet been satisfied. 

Rejected: This claim has been rejected by MSP as the billing criteria has not been met for successful payment. Please go into the claim details to see the full explanation as to why these claims have come back unpaid. 

Pending: This claim will be automatically submitted to MSP within the next 24 hours if your account is fully active. 

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