Status | Definition |
Authorized | Represents a payer authorization and a completed setup with the clearinghouse. |
Authorized Exception | Agreements where the payer has authorized some but not all of the providers on the agreement. |
Canceled | Represents a customer request that an agreement be canceled. |
Closed | Forms closed unrelated to standard agreement activity. |
Deauthorized | The customer requests that the authorization was removed. |
Denied - Payer | Represents a denial by the payer; a new agreement must be submitted. |
Denied - Pending | Represents a denial by the clearinghouse (typically missing provider information); Information can be sent via return email. |
Denied - Pending Expired | The agreement has been held in a Denied-Pending status for 90 or more days without receiving updated provider information. |
Denied - Pending Updated | The clearinghouse has received updated provider information from the customer and the agreement has been re-entered into the system for review. |
Denied - Rejected | Represents a denial by the clearinghouse; a new agreement must be submitted. |
Enrollment Submitted | Agreement has been submitted. This does not reflect the actual approval or denial of the agreement. |
Needs Test | Represents a payer approval, but the payer requires testing data for the provider. |
Open | Agreement is pending approval with the payer. |
Pending Setup | Represents a payer authorization with additional setup required at the clearinghouse. |
Pending Receipt | Agreement is pending Customer. An item is required to be submitted to the agreement submitted. Example: Original form required to be mailed. Pending receipt of agreement to be received in the mail. |
Rescan | Agreement had to be modified by the clearinghouse before sending it to the payer. |
Under Construction | The clearinghouse is updating the agreement per new payer requirements. You may check back for access to complete within 3-5 business days. |
Unavailable | The Agreement is no longer available or supported by the clearinghouse. |