Viewing the activity log

The activity log provides information regarding your current claims transactions with the carrier including:

Paid claims
Pre-treatment estimates
Information requests
Denied claims

This screen is primarily designed for the use of providers who have signed up for EFT (Electronic Fund Transfer), and receive this information electronically.

Paid claims, pre-treatment estimates, and denied claims are available in the Activity Log immediately following submission and Information Requests are available at the end of each day. All transactions in the Activity Log remain available for you to view for as long as you choose.

You may also view your claims activity by family (see Viewing family claims history for further information) or by searching claims (see Locating a claim for further information).

To review your activity log, select Activity Log. The Activity Log screen appears with claim information sorted in date order with the most recent claims showing first.

Activity log — EFT Section

Direct deposit amounts for paid claims are listed under this heading:

InActivate — if you have reviewed an EFT and no longer wish it to show in the Activity Log, check the box in the Inactivate column.

Date Issued — the date the EFT was issued.
EFT ID — the unique number assigned by the plan's bank to the direct deposit account of the provider, for a batch of claim payments (via EFT.) Click this link to see the EFT Payment screen (see Viewing claim payment information for more information on the EFT Payment screen.)
Amount — the total amount direct deposited via EFT.

Activity Log — Processed Pre-treatment estimates

Any pre-treatment estimates you have sent to the carrier are listed under this heading along with the following information:

InActivate — If you have reviewed a pre-treatment estimate and no longer wish it to show in the Activity Log, check the box in theInactivatecolumn.
Date Received — the date the pre-treatment estimate was received.
Patient Name — the name of the patient for whom the pre-treatment estimate was submitted.
Claim Number — the number assigned by the carrier to identify the pre-treatment estimate you submitted. Click this link to see a copy of the pre-treatment estimate. You may submit the pre-treatment estimate for payment by selecting the Submit for Payment button on this screen.
Click the View EOB button to see a copy of the paper EOB that may have been sent to you via the mail. (If no paper EOB was sent, you will get the message “This document does not exist”)

Member Number — the member number of the subscriber for whom the pre-treatment estimate was sent.

Activity Log — Information Requests

Additional information may be required when processing a claim. In such cases, an information request may be sent for this information. This section shows any active information requests for your submitted claims.

InActivate — If you have reviewed an information request and no longer wish it to show in the Activity Log, check the box in the Inactivate column.
Date — the date that the information request was sent by the carrier.
Patient Name — the name of the patient on the related claim.
Client Number — the carrier assigned number for the client that provides the patient’s dental benefits
Claim Number — the carrier assigned number for the related claim. Click this link to see a copy of the information request (IR). To return to the Activity Log screen, click the Activity Log.
Claim Type — the type of claim. Valid claim types are:
1. 1 – In For Pay
2. 2 – Mixed DOS Claim
3. 3 – Pre-treatment Estimate
4. 4 – Pre-treatment Estimate In For Pay
5. 5 – Prior Carrier

Activity Log — Denied Claims

This section lists your claims that were denied payment.

InActivate — If you have reviewed a denied claim and no longer wish it to show in the Activity Log, check the box in the Inactivate column
Date Received — the date that the claim was received by the carrier.
Patient Name — the name of the patient on the related claim.
Claim Number — the carrier assigned number for the related claim. Click this link to see a copy of the denial.
Click the View EOB button on the Explanation of Benefit screen to see a copy of the paper EOB that may have been sent to you via the U.S. Postal Service. (If no paper EOB was sent, you will get the message “This document does not exist”)

Member Number — the member number of the patient.
To return to the Activity Log screen from the Explanation of Benefit screen, click Activity Log.

To remove items checked Inactivate in the Denied Claims section of the Activity Log, click the Inactivate Checked Items button.