When a claim has been processed, either by White Crane or by a payer, some information is typically sent back regarding what was done with the claim. This information is the means by which you can track the claims that you have submitted and determine what, if anything, was done with them.

Claims Printed By White Crane and Mailed

For claims that White Crane has printed to paper and mailed directly, White Crane will send you a list of the clients, dates of service, procedures, amounts charged, and the payer(s) to whom the claims were mailed.

Claims Filed Electronically to BC, BCN, FEP and/or Medicare

For BC and BCN, response files are generated according to the HIPAA standard and are transmitted to White Crane from BC. White Crane translates these files into a readable form and sends them to you. These response files serve the same purpose as, and often replace, the Explanation Of Benefit (EOB) forms that you may have been used to getting along with your reimbursement checks. This is increasingly true as BC moves forward with their efforts to reduce their paper handling by posting EOB information only online.

The response files should provide you with most of the information you need to determine the dispositions of your claims, including which moneys were paid on which of your clients' accounts, for which dates of service and, if applicable, why a specific claim was rejected. White Crane Flyer #22 provides more detailed information regarding the response files you will receive from White Crane.

Claims Filed Electronically to Other Carriers

For Medicare (not Medicare Advantage),  MI Medicaid, and others, we can arrange for the response files to be routed back through us, though this may require some additional work on your part. In some cases, we may be able to retrieve these remittance files via Availity.

When we do not receive, and cannot access, the response files (aka Remittance Advices), White Crane may have difficulty tracking such claims past the acknowledgement of their receipt. If you receive a remittance advice directly from the insurer, you can fax it to us for any questions you might have regarding the document.