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Claim Exports

Filing happens in batches. A batch gathers the claims that are Ready, produces the EDI file your clearinghouse or payer receives, and then never changes.

Claim Exports showing a Test Mode banner, four claims ready to export, and one generated batch carrying four claims with one excluded

User only, when the client is licensed for claims.

Ready to Export counts what the next batch would take. If it reads zero, no claim has passed review yet.

ColumnWhat it shows
Batch #The batch number, with a Test badge when it was generated in test mode
ClaimsHow many claims it carries, and how many were excluded
Total ChargeThe batch total
StatusWhether it generated and was delivered
Created ByWho exported it
Created AtWhen
StatusWhat it means
PendingThe batch is being generated
GeneratedThe file exists and is ready to send
Validation FailedNo claim passed validation, so nothing was exported
FailedGeneration itself failed
TransmittedThe file reached its destination
Transmit FailedThe file was generated but could not be delivered

An export batch: the outcome banner, five claims with one excluded first, and the EDI envelope

SectionWhat it holds
ClaimsEvery claim in the batch, each Exported or Excluded with a reason. Excluded claims sort first, so the page reads as a fix-it list
EnvelopeThe EDI control numbers: Sender (ISA06), Receiver (ISA08), Usage (ISA15), Interchange (ISA13), Group (GS06), Transaction (ST02)
DeliveryWhere the file went, and when. Shown only once a connection or a transmission exists

Usage (ISA15) is what distinguishes a test file from a live one.

ActionWhat it doesWhen it is offered
Export Ready ClaimsCreates a batch from every Ready claimOn the list, once EDI settings are configured
Download 837PRetrieves the generated fileOn a batch that produced one

Export Ready Claims opens a dialog with a Deliver to Connection picker, offering Download only or one of the client’s active connections. Choosing a connection pushes the file into that connection’s output folder. If the client is not licensed for connections, the dialog says so in one line and the file is download only.

  • No export batches yet on the list, pointing at Export Ready Claims.
  • Generating… says the page updates itself, so there is nothing to refresh.
  • This batch has no claims.
  • No claims passed validation - nothing was exported.
  • The export failed.
  • The file was generated but could not be delivered.
  • Test Mode - the banner says exports carry ISA15 = T and must not be submitted for payment.
  • Blocked - without the claims module the screen is not in the sidebar, and a saved link to it says the module is not part of your plan.

Batches are immutable: a permanent record of what was filed and when. A retry is a new batch rather than a revision of the old one, so the filing history stays honest.

Related: Claims · The Claim Page · Export Ready Claims · A Claim Will Not File