Represents a payer authorization and a completed setup with the clearinghouse.
Agreements where the payer has authorized some but not all of the providers on the agreement.
Represents a customer request that an agreement be canceled.
Forms closed unrelated to standard agreement activity.
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.
Agreement has been submitted. This does not reflect the actual approval or denial of the agreement.
Represents a payer approval, but the payer requires testing data for the provider.
Agreement is pending approval with the payer.
Represents a payer authorization with additional setup required at the clearinghouse.
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.
Agreement had to be modified by the clearinghouse before sending it to the payer.
The clearinghouse is updating the agreement per new payer requirements. You may check back for access to complete within 3-5 business days.
The Agreement is no longer available or supported by the clearinghouse.