If a refund has been requested, will it show as part of the claim status?

Health Plans: 

  • 1199SEIU,
  • AmeriHealth Caritas District of Columbia (ACDC),
  • AmeriHealth Caritas Louisiana,
  • AmeriHealth Caritas Pennsylvania,
  • AmeriHealth Caritas VIP Care,
  • AmeriHealth Caritas VIP Care Plus,
  • Blue Cross and Blue Shield of Nebraska,
  • Blue Cross Complete of Michigan,
  • Cigna,
  • Clover Health,
  • First Choice VIP Care Plus,
  • Gateway Health,
  • Geisinger,
  • Health Partners Plans,
  • Highmark Blue Cross Blue Shield,
  • Highmark Blue Cross Blue Shield Delaware,
  • Highmark Blue Shield,
  • Highmark Blue Cross Blue Shield West Virginia,
  • Keystone First,
  • Keystone First VIP Choice,
  • Neighborhood Health Plan of RI,
  • Select Health of South Carolina,
  • West Virginia Family Health,
  • NaviNet Open

Workflow: 

  • Claim Status

No, refund requests will not display as part of the claim status because that field is not included in the data returned from the health plan in the EDI transaction.

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