Use the Claim Research Tool for expanded claim status information    
Do you, your staff, or your billing agent (billing service or clearinghouse) need an easy-to-use administrative solution that provides more information in less time, at no charge, and with printable results? Consider using the Availity Claim Research Tool (CRT) for expanded claim status information that can help expedite your patient account reconciliation process. This secure, online self-service tool allows Availity-registered users to obtain detailed, line-level claim status information, including reason codes and descriptions. You can use the CRT to conduct an unlimited number of basic or detailed claim status inquiries when it’s most convenient for you, without taking time away from your patients.

To use the CRT:

  1. Log in to the Availity portal. Select Claims Management, then Claim Research Tool. Select the appropriate payer, then click Next.
  2. Set your search parameters. For a member ID search, enter the provider billing NPI, member ID, group number and service period, then click Search. Select the claim number for the claim you wish to view. For a claim number search, enter the alpha-numeric claim number in the claim number (DCN) field. Click on Search to go to the claim details page.
  3. You can view overall claim status and line-item details. You can also export or print the information or conduct a new search.

For additional information, refer to our CRT Tip Sheet. To learn more about other electronic options available to independently contracted providers, contact your Provider Representative.

You must be registered with Availity to use the CRT. To register and learn more, visit Availity or call 800-AVAILITY (282-4548).

Availity is a registered trademark of Availity, LLC. Availity is a third-party vendor, and BCBSNM makes no endorsement, representations or warranties regarding any products or services offered by this vendor. Availity is solely responsible for the products and services it offers. If you have any questions regarding the products or services offered by Availity, you should contact the vendor directly.

Blue Review • January 2012 • bcbsnm.com