The Service Detail by PROMISe Status report provides a detailed listing of all claims submitted to PROMISe and their current status. The status is updated when trade files are imported into Stratus. Without trade file imports, claims will appear as if they have no response from PROMISe.

đŸ©ș Claim Status Definitions

  1. Not Billed = Service is entered in Stratus but has not yet been billed.
  2. No PROMISe Status = Billed, but no result yet in a trade file (could be delayed or missed).
  3. Paid = Claim was approved for payment; payment typically arrives 3 weeks later.
  4. Denied  =  Claim was denied and should be corrected and resubmitted.
  5. Suspended  =  PROMISe is reviewing the claim further or had server issues.
  6. Approved Adjustment  =  PROMISe approved an adjustment to a previously paid claim.
  7. Approved Void =   PROMISe approved a request to void a claim.

🔁 Denied claims can be quickly rebilled by selecting “Denied Claims” during the billing process.

🧭 Navigation:  Analysis → Service Detail by PROMISe Status

  1. Enter the Date Range: Use the Begin Date and End Date fields to define the service period.
  2. Payor: Select PROMISe
  3. Set Filters (Optional):
    1. Program: Leave blank for all or choose a specific one.
    2. Facility: Leave blank for all or select a specific location.
    3. Case Number: Leave blank or enter a specific consumer’s case number.
    4. Billing Status: Choose one, or leave blank to see all:
      1. Not Billed
      2. No PROMISe Status
      3. Paid
      4. Denied
      5. Suspended
      6. Approved Adjustment
      7. Approved Void
  4. Check the Notify box and Click Process.
  5. Once complete, you’ll receive a prompt. Click YES to view the report.

📝 Follow-Up Tips

  1. Run this report after every trade file import to confirm updates.
  2. Use it to quickly spot claims that need rebilled or reviewed.
  3. Save a copy each week to track resolution progress over time.

5/2025

NEED MORE HELP?  Submit a ticket to the Help Desk or call (814) 535-7810 or (800) 889-3388

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