1. When you send clams to DMEFree or Simpleclaims Clearinghouse you will get a confirmation usually within 5 minutes. it will look like this

XYZ PHARMACY Thank you for Sending claims! Your BILLING FILE UPLOAD has been CONFIRMED for account 1790  Please watch for your STATUS REPORTS

you can now clear your billing file (billing menu)

2. The next day you will receive your STATUS REPORT - if you bill only Medicare there will be one report if you bill Mediare and Commercial/Medicaid/Blues then you will have two reports that look like this..


*               DMEFREE Claims Status Log file 2078Q101
*               Log file created on  6/19/2009 at  7:19AM
*
*
*
*                          for NATIONAL COALITION FOR YOUTH AND FAMILY
*
*             This report confirms the clearinghouse has received your
*               MEDICAID, BLUE CROSS or COMMERCIAL insurance claims
*
*    ACCOUNT#    PATIENT         FIRST-DOS    CLAIMTOTAL   PLANID     STATUS
*    ________    _______         _________    __________   ______     ______
*   SPALDING 8  SPALDING,JENEAH  05 27 09        700.00    1472
*
*    WHEN CALLING ABOUT THIS BATCH OF CLAIMS PLEASE REFER THE STATUS# 2078Q101
*
*
*
*        CLAIM TOTAL      =       700.00


3. A day later or sometimes the same day as your clamis are processed you will get
A. FROM MEDICARE ''HDIG CLAIMS CONFIRMATION REPORT''
this is Medicare front end report, showing what will be allowed into medicare for remitt process and what is rejected and you need to fix.

it looks like this

GENRPT v1.0                                               VERSION 5.6 (BUILD 46)
================================================================================

                         HDIG CLAIMS CONFIRMATION REPORT


================================================================================

TP SENDER ID:    C08403658                         PROCESSING DATE: 2009/06/19
SUBMITTER ID:    C08403658                         PROCESSING TIME:  7:50:40
SUBMITTER NAME:  PC SOLUTIONS

FORMAT TYPE:     837P                              FILE CREATE DATE: 2009/06/19
VERSION:         004010X098A1                      FILE SEQUENCE NO: 169458000

================================================================================

                                  BATCH TOTALS

                                  PROVIDER: ELECTRIC MOBLITY CORP  0001
                                  ACCOUNTNO# 4001
                                  SEWELL NJ 08080


BATCH NUMBER:             3                                 BATCH TYPE:  000
BATCH STATUS:             GOOD                               BATCH NO: 30
NUMBER OF BATCH ERRORS:   0                                  PROVIDER ID:
                                                             NPI: 1386670750

+------------------------------------------------------------------------------+
|                                                                              |
|             CLAIMS        OTHER         TOTAL                       TOTAL    |
|          WITH ERRORS +  REJECTED   =  REJECTED   +   ACCEPTED  =    CLAIMS   |
|         ------------- ------------- ------------- ------------- -------------|
|COUNT           3             0              3          7               10    |
|CHARGES      1118.79          0.00        1118.79    13425.20        14543.99 |
|                                                                              |
+------------------------------------------------------------------------------+
START OF CLAIMS WITH ERRORS LIST FOR BATCH:   3 OF 20
--------------------------------------------------------------------------------
PATIENT ACCT: 024733                  PATIENT NAME: LEONE, JOSEPH
DATE: 20090610  AMT: $        199.99  CERT/HIC NO.: 050402507A
CLAIM NO:                             PAYER ID: 16003          SOURCE OF PAY: MB

ERROR:   LOOP: LX_2400      SEGMENT: DTP          FIELD: 03::1251     SEQ: 549
         CODE: C181         VALUE:   20090610
         DESC: DATE OF SERVICE INVALID FOR PROCEDURE
--------------------------------------------------------------------------------



4. if you have commercial claims you will get a report like this (this is the edit or exlcusion report)
                                                                               
                                                                               
                             EXCLUSION CLAIMS REPORT                  PAGE:    1
 CPI652.01                                                            06/18/2009
 PROCESSING DATE: 06/18/2009                                          07:18:52 
 *******************************************************************************
 007515-PC SOLUTIONS                              CLAIM BILLING DATE: 06/18/2009
 040719-xyz pharmacy                                                       
 *******************************************************************************
            NO EXCLUSION CLAIMS TO REPORT FOR THIS CLAIM BILLING DATE           
 *******************************************************************************
                                                                               
 040719 TOTALS:        (E)=REJECT FIX & RESUB!             0          0.00     0
                       ACCEPTED                            2        885.00     0
                                                    ********  ************  ****
                       TOTAL-INPUT                         2        885.00     0
                       *********************************************************
                       (A) ELECTRONIC TO PAYER             2   +    0   =      2
                                                    ****************************
                       TOTAL OUTPUT                        2   +    0   =      2
 *******************************************************************************
 "D/C" (7TH COLUMN) IS THE DISTRIBUTION CODE COLUMN. THIS CODE WILL INDICATE HOW
 THE CLAIM IS DISTRIBUTED. POSSIBLE VALUES ARE:                                 
  A = ELECTRONIC TO PAYER  C = PATIENT-DIRECT          E = REJECT FIX & RESUB!

  B = CARRIER-DIRECT                                   F = PAPER CLAIM-HARDCOPY



5. So now your Medicare claims have passed thru the front end and are at Medicare, you only need to wait for your EOB Remittance, which can be emailed to you or downloaded from our View reports website.
due to the private information on an EOB we will not show this.

6. For Commerical , BCBC and some Medicaids, you will get back the old NEIC front end reports , but we have converted those to the SR or Standard Reports which more readable, the following is an example



CSPR31.01                       PAYOR CLAIM DATA                    PAGE:      1
                                                                    06/18/2009
                                                                    16:15:01
********************************************************************************
007515-PC Solutions
751575-XYZ PHARMACY
*****************************************************************
CLAIM STATUS REPORT
PAYOR PROCESS DATE: 06/18/2009         CPID: 3233 TODAYS OPTIONS

BILLING PROVIDER NAME:
BILLING PROVIDER ID: 200834439                        NPI:

********************************************************************************
PATIENT CONTROL #              LAST NAME                 FIRST NAME   CLAIM FROM
PAYOR CLAIM STATUS             POLICY #                  CLAIM AMT    / TO DATE
STANDARDIZED CLAIM STATUS
****************************** ************************* ************ **********
--------------------------------------------------------------------------------
HOKER                          HXXX                      ROY          05/23/2009
ACCEPTED                       060002924                $      366.59 05/23/2009
F - ACKNOWLEDGED AND/OR FORWARDED
* PAYOR CODE:    A1
  INVALID DATA:
  PAYOR MESSAGE: CLAIM RECEIPT FOR PROCESSING BY PAYER (10) - STATUS CODE #A1 DR
                  TRACE #01DDUOEA
  PAYOR MESSAGE: CARRIER ACKNOWLEDGES RECEIPT OF CLAIM ACKNOWLEDGEMENT/RECEIPT-T
                 HE CLAIM/ENCOUNTER HAS BEEN RECEIVED. THIS DOES NOT MEAN THAT T
                 HE CLAIM HAS BEEN
  PAYOR MESSAGE: ACCEPTED FOR ADJUDICATION.
--------------------------------------------------------------------------------
WEBBM                          WXXX                      MARION       05/01/2009
ACCEPTED                       075020712                $      194.40 05/01/2009
F - ACKNOWLEDGED AND/OR FORWARDED
* PAYOR CODE:    A1
  INVALID DATA:
  PAYOR MESSAGE: CLAIM RECEIPT FOR PROCESSING BY PAYER (10) - STATUS CODE #A1 DR
                  TRACE #01DDUOA6
  PAYOR MESSAGE: CARRIER ACKNOWLEDGES RECEIPT OF CLAIM ACKNOWLEDGEMENT/RECEIPT-T
                 HE CLAIM/ENCOUNTER HAS BEEN RECEIVED. THIS DOES NOT MEAN THAT T
                 HE CLAIM HAS BEEN
  PAYOR MESSAGE: ACCEPTED FOR ADJUDICATION.
--------------------------------------------------------------------------------
WEBBM                          WXXX                      MARION       06/01/2009
ACCEPTED                       075020712                $      194.40 06/01/2009
F - ACKNOWLEDGED AND/OR FORWARDED
* PAYOR CODE:    A1
  INVALID DATA:
  PAYOR MESSAGE: CLAIM RECEIPT FOR PROCESSING BY PAYER (10) - STATUS CODE #A1 DR
                  TRACE #01DDUOD9
  PAYOR MESSAGE: CARRIER ACKNOWLEDGES RECEIPT OF CLAIM ACKNOWLEDGEMENT/RECEIPT-T
                 HE CLAIM/ENCOUNTER HAS BEEN RECEIVED. THIS DOES NOT MEAN THAT T
                 HE CLAIM HAS BEEN
  PAYOR MESSAGE: ACCEPTED FOR ADJUDICATION.
--------------------------------------------------------------------------------