If you've received an email about a failed file or need to check the status of an uploaded file in MEDENDx, follow the steps below to view the file summary and understand the failure.
What is a Failed File?
A file is a collection of claims that can be created using a third-party software or directly within MEDENDx. Files are typically formatted in:
A "Failed File" occurs when a file created and uploaded from a third-party software does not comply with the X12 standard or deviates from the expected mapped print image or CSV format. As a result, the file cannot be processed within MEDENDx. In such cases, corrections must be made in the originating third-party software, and a new file must be generated and re-uploaded to MEDENDx. If the file meets MEDENDx's formatting requirements, it will be processed, and the claim(s) will be generated.
If an issue arises with an individual claim, it will be marked as "REJECTED" rather than "FAILED."
Rejected claims can stem from various causes, either within MEDENDx or from the payer.
Since the file itself has been processed correctly, rejected claims can generally be corrected directly within MEDENDx or addressed with the payer, as needed.
In contrast, a failed file means the individual claims were never generated, so they cannot be corrected within MEDENDx.
Steps to View a Failed File:
On the Service Center homepage, click on the Reports dropdown menu.
Choose Claim Reports from the list to access the claim report section.
3Download the File Summary
Look for the Download button on the right-hand side.
Click it to download the file summary, which will explain why the file failed.
The summary will include:
The file name and upload date
A description of the error that caused the failure
Steps to View Correctable Claims:
1Go to Service Center and select Claims.
3Find the claim you need to review.
4In the Status column, identify the claims:
Rejected/Correctable claims in red.
Click on the correctable claim to open it.
This will launch the claim form.
At the top of the form, you'll see the error code and its description.
Make the necessary correction.
Getting Further Assistance:
Schedule an Appointment: Visit Service Center Classic, click on Tech Training, and schedule an appointment for someone to review the file.
Call Support: Alternatively, you can call our support team for help with the uploaded file.
