CLAIM STATUS INQUIRY

OVERVIEW

The Electronic Claims Status Inquiry (eCSI) Web Application provides a secure webbased tool for providers to inquire on the status of a claim within the adjudication process. This application is accessible to all providers who have a computer with Internet access using a recent version of either Netscape Navigator or Internet Explorer browser software. Providers must establish a valid online account with Louisiana Medicaid, complete with a valid login ID and password, in order to access the web based application.

The eCSI application enables providers to inquire on the status of claims (i.e. paid, denied, voided, etc.) using the HIPAA compliant Transaction Set 276/277. It is a realtime application that processes in accordance with the Health Care Claim Status Request and Response 276/277 Implementation Guide, ANSI X12N 276/277.

The database for the application maintains two years of claim information based on the claim’s date of receipt. On a daily basis, claim activity including new claims, adjustments, voids, and pended claims is extracted and processed as new activity.

Claim status inquiry and response processes are supported for all LMMIS claim types. Providers can inquire on the status of a claim by executing a search via a generic general method or by specific ICN. The User Manual, located on the web link, Forms/Files/User Manuals provides information on eCSI including accessing and utilizing the application. (eCSI User Manual - 5010)

Providers must use e-CSI to inquire on the status of claims submitted to Louisiana Medicaid

ACCESSING THE APPLICATION

Using the latest version of a mainstream web browser, such as Internet Explorer ensures that the latest updates to the eCSI application are displayed to the user. All enrolled providers, with the exception of "prescribing only" providers, have authorization to utilize the eCSI application. However, eCSI requires that providers establish an online account with Louisiana Medicaid.

The Louisiana Department of Health and Hospitals (DHH) determines who is an authorized user and defines all user access capabilities. Directions for establishing a valid online provider account are also available on this website at the Provider Web Account Registration Instruction link located in the directory links of the Home page.

NAVIGATING THROUGH THE APPLICATION

  • Select the Search link to perform a Claims Status Inquiry search by ICN or General Method
  • Select the Response link to view the claims status response screen
  • Select the Print Friendly link to view a print friendly version of the response screen
  • Select the eMEVS link to access the electronic Medicaid Eligibility Verification System
  • Select the Main Menu link to discontinue current processing at any page and return to the Provider Applications Area Main Menu.
  • Select the Help link to obtain field specific help information.
  • Select the Clear Screen link to clear a page and reset the page data fields to their default values

There is a selection-processing button that appears in the lower right hand corner of the web screen.

  • Select the Submit button to process the data entered on a screen.

Providers who are experiencing difficulty in establishing an account may contact the Gainwell Technologies Technical Support Desk at 1-877-598-8753, Monday – Friday 8:00 a.m. – 5:00 p.m. CT or request support by e-mailing lasupport@molinahealthcare.com