Medicaid Pending Claims - Provider Report

 For each cycle processed by Medicaid, there are certain claims that are "pending". To view these claims, select "Medicaid Pending Claims - Provider" under "Reports" on the task bar.







Select the latest cycle, and click "Run". A list will appear of claims that were billed with that cycle and were neither paid nor rejected.  There may be an error listed to indicate why these claims are pending.

For more information on specific pending claims and what action can be taken to receive a response, you can contact eMedNY by phone at 1-800-343-9000.  However, there may not be any action required.

These claims will be eventually paid or rejected. When you look at past cycles, you may see claims that were pending, but have already been paid or rejected and moved forward.