How often does Sarva check claim status?

Sarva checks based on configurable aging thresholds — typically at 14 days, 21 days, and 30 days post-submission. Claims still pending after 30 days are checked weekly. You can customize thresholds by payer or claim type.

Can Sarva post payments automatically when a claim is paid?

Yes. When a 277 response indicates a claim is paid, Sarva posts the payment to your practice management system if an 835 ERA has been received. This eliminates manual payment posting for electronically adjudicated claims.

Use Case

Claim Status Automation Using 276/277 EDI Transactions

Claim status automation uses the EDI 276/277 transaction standard to query payer systems for the status of submitted claims without staff making phone calls or logging into portals. Sarva batch-checks claim status automatically, categorizes responses (paid, denied, pending, rejected), and routes actionable items to staff while tracking everything in a dashboard.

Automate Your Claim Status Checks

The Business Problem

After claims are submitted, staff must track their status to ensure timely payment. This involves phone calls to payers, portal logins, and spreadsheet tracking. For high-volume practices, checking status on hundreds of claims per week is a full-time job. Claims that fall through the cracks age silently, eventually becoming uncollectable.

Affected Team

Billing and AR follow-up teams. Claim status checking is one of the most tedious and time-consuming tasks in revenue cycle, yet it is critical for cash flow management.

How It Works

Current Manual Workflow

A biller exports a list of submitted claims past a certain age. They call each payer, wait on hold, provide claim details, and record the status. For portal-supported payers, they log in and search claim by claim. The status is recorded in a spreadsheet or the practice management system. The process repeats weekly for claims still pending.

Automated Workflow with Sarva

Sarva batch-checks claim status using 276/277 EDI transactions. Claims are categorized automatically: paid (with payment details), denied (with reason codes), pending (with expected timeline), or rejected (with correction needed). Paid claims are posted automatically. Denied claims are routed to the denials workflow. Pending claims are re-checked on a schedule. Staff see only actionable items.

Inputs

Submitted claim data (claim ID, payer, amount, date)
Payer EDI connections for 276/277
Aging thresholds by payer
Payment posting configuration

Outputs

Real-time claim status dashboard
Categorized statuses (paid/denied/pending/rejected)
Automated payment posting for paid claims
Denial routing for denied claims
Re-check scheduling for pending claims

Human Oversight

Staff handle exceptions: denied claims routed to the denials workflow, rejected claims needing correction, and claims pending beyond expected timelines. Sarva manages routine status checking and payment posting without staff involvement.

Security Considerations

All EDI transactions are encrypted. Claim data is processed in an isolated environment. Full audit trails for every status check. HIPAA BAA included. SOC 2 Type II certified.

Integration Considerations

Sarva uses 276/277 EDI transactions through your clearinghouse or direct payer connections. Payment posting integrates with your practice management system. For payers that do not support 276/277, Sarva uses portal-based checking or routes for manual follow-up.

Limitations

Not all payers support 276/277 transactions. Some require portal-based status checks, which Sarva handles but with slower throughput. Status responses may lag behind actual payer processing by 24–48 hours. Sarva cannot check status on claims that were never successfully submitted to the payer.

Key Performance Indicators

Claims status-checked per week

Target

100% of aging claims

Staff time on status checks

Target

80% reduction

Claim aging visibility

Target

Real-time dashboard

Untracked claim rate

Target

< 1%

See how this workflow applies to your practice.

Automate Your Claim Status Checks

Related Connectors

What Is AI Revenue Cycle Management?

Frequently Asked Questions

The EDI 276 is a claim status request transaction, and the 277 is the payer response. It is the standard electronic method for checking claim status without phone calls or portal logins. Sarva uses these transactions to batch-check claim status automatically.

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