Claim Status Inquiry Overview

Find out where your claims are with the click of a mouse. OptumInsight Netwerkes allows you to send real-time Claim Status Inquiries to a variety of payers. This powerful tool helps you understand why a payer denied or delayed claim payment. In addition, you can schedule automatic reports on the status of claims based on your average A/R days with each payer to see sooner if your request was accepted or denied.

Claims Status Inquiry is just one feature of OptumInsight Netwerkes, a web-based clearinghouse that provides primary and secondary electronic claim transmissions, electronic remittances, eligibility verification, claim statusing, and much more to help you supercharge your revenue cycle with faster reimbursement and compliant claims resolution.

With the Netwerkes transparent system, provider staff can see where every claim is in the transmission process at all times. In addition, this premier large provider group and hospital clearinghouse solution automates existing business processes to help you:

• Eliminate recurring errors
• Prevent underpayments, overpayments, and denials
• Increase auto-adjudication rates and productivity