General Claims Information

The Claim Year Summary summarizes information regarding the claim for each claim month in the designated year:

· Adj Number: identifies the number of revisions associated with the claim. Each revision must be re-processed by the state.

· Claim Status: identifies the current status of the claim.

· Date Received: identifies the date the system initially received the claim submission. Note: the State has the authority to modify this date.

· Date Processed: identifies the date the claim was included in the payment batch process.

· Earned Amount: identifies the current value of the claim.

From the Claim Month Details screen, you can access a specific claim form or a summary of the submitted claim.

If the claim has been processed, the options are View (to view the completed claim form) or Summary (to view the calculated payment summary related to the claim).

If the claim has not been processed, the options are View (to view the completed claim form), Modify (to enter a new claim or modify an existing claim) or Summary (to view the calculated payment summary related to the claim).

Note: Claims can be modified UNTIL they have been added by the State into the batch payment process. Once a claim has been included in a payment batch, the status of the claim is “*Accepted” until the batch process has completed. When the batch process has completed, the status of the claim is “Processed”.

If the SFA has been identified by the State as performing site-level claiming on the Contracting Entity Profile screen, the SFA would use the Claim Site List screen to select the site whose claim to add, view, or modify.

Note: Only active sites will have a link to open the Claim for Reimbursement screen.