Understanding NEA Status Types

The following table lists the NEA statuses available.

 

Status

Definition

Blank

The status field is blank for existing claims created prior to installing SoftDent v11.0.11 or v12.0.1.

Blank

If the insurance company for a claim does not have NEA payer information, the status field is blank.

Required

This status is displayed for claims with procedure codes that require attachments to be sent, but which have not yet been created. The claims have not been submitted electronically.

When the primary claim is marked Final, the NEA status of the secondary claim is changed to Required, if the secondary claim is ECS and NEA enabled and at least one of the procedures requires an attachment.

Claims with the NEA status of Required that are loaded into the Electronic Services program can be submitted electronically. If such a claim is sent without an attachment, a warning is displayed on the Validation Error report, and the NEA status changes to Ignored.

Pending

This status is displayed for claims whose insurance companies do not want attachments until requested.

Claims with the NEA status of Pending that are loaded into the Electronic Services program can be submitted electronically. A warning is displayed on the Validation Error report.

Not Sent

This status is displayed for claims with attachments that were created but have not been sent to NEA.

Claims with the NEA status of Not Sent that are loaded into the Electronic Services program are not submitted electronically.  An error is displayed on the Validation Error report.

Ignored

This status is displayed for claims that originally required the attachment to be sent before the claim, but were submitted electronically before the attachment was sent.

Rejected

This status is displayed for claims with attachments that were rejected by NEA.

NEA#xxxxxxxx

This status is displayed for claims with attachments that were successfully transmitted to NEA. This numeric ID returned from NEA is also displayed in the Notes field for the claim.

Claims with the NEA status of NEA#xxxxxxxx that are loaded into the Electronic Services program can be submitted electronically and will not appear on the Validation Error report.