Know what happened to every claim.
Clausea turns “what is the status?” messages into a simple work queue with payer response, payment movement, next action, and alerts your billing team can understand without digging through portals.
Aetna - Claim #AET81206
A plain-English view of where the claim is stuck.
Payer, provider, amount, and service date captured.
Aetna confirms the claim is in their system.
Adjudicated, but returned with no payment.
Owner gets email, SMS, or phone alert by preference.
Move this claim to appeal prep with payer status, amount, and date trail already attached.
Status work is where revenue quietly stalls.
Submission is only the start. Billing teams still need to know if the payer received the claim, whether it was accepted, what payment decision came back, and which account needs human follow-up today.
Portal and phone loops
Teams jump between payer portals, clearinghouse screens, phone menus, and spreadsheets just to answer one question: what happened to this claim?
Messy payer language
Payer responses can be technical, partial, or inconsistent. Clausea turns them into practical labels like paid, pending, no match, needs data, or denial review.
Late discovery
Denials, mismatches, and missing claim records often surface after days of waiting. Alerts make exceptions visible while there is still time to act.
Expensive manual checks
Industry research estimates a manual claim status transaction costs far more than an electronic one. Automation gives that time back to the team.
From claim list to clean follow-up queue.
Add claims to monitor
Upload a small list, enter claims manually, or start from the claim data your team already has. Keep the payer, amount, provider, and service details in one place.
Check payer status
Clausea organizes received, pending, paid, denied, no-match, and mismatch signals so staff do not have to hunt across screens.
Alert the owner
Send email, SMS, or phone alerts when a claim is paid, denied, missing, stale, or ready for a staff member to review.
Move the work forward
Paid claims move to reconciliation. Denials move to review. Pending claims stay watched until the payer makes a decision.
Everything after submission, translated into a task list.
Every incoming claim status question becomes a trackable item with payer context, timeline, next action, and alert history.
Add new claims to track
Start from a small batch or add one claim at a time when a patient, provider, or staff member asks for status.
Exception queue
Flag claims when a payer returns a denial, zero payment, no-match response, or stale pending state.
Live status notifications
Track claims live and choose how your team gets notified: phone call, SMS, or email alerts based on each user's preference.
Payment visibility
Capture paid amount, check or EFT details, and payer reference numbers for faster reconciliation.
HIPAA-aware workflow
Keep follow-up work in a controlled workspace with team notes and practical security expectations.
Start with status checks. Scale to unlimited monitoring.
Pricing is designed for billing teams that need immediate visibility without a heavy implementation project.
Pilot pack
SetupFor teams that want Clausea to validate a small batch before committing to monthly monitoring.
- 50 claim status checks
- Payment and denial summary
- Live status tracking with email, SMS, or phone notification preference
- Exception list for follow-up
Status monitor
The monthly subscription for small practices, solo billers, and growing RCM teams.
- 100 claim status checks per month
- Status, payment, denial, and no-match tracking
- Live status notifications by email, SMS, or phone call preference
- Exportable follow-up queue
Unlimited
ScaleFor teams that check payment status continuously across larger claim volume.
- Unlimited payment status checks
- Priority live alerts by email, SMS, or phone call preference
- Team workflow and queue review
- Best for billing companies and high-volume practices
Status checks feed the next recovery action.
When a claim is paid, your team can reconcile. When it is denied, Clausea can help move into appeal work with payer-aware context instead of starting from scratch.
Try the denial demoClaim was adjudicated but returned no payment.
Send to appeal prep with payer and claim metadata.
Work moves forward while the timeline is still recoverable.
Questions billing teams ask first.
Is this for providers, billers, or RCM companies?
All three. The page is written for the person responsible for unpaid claim follow-up: solo billers, practice managers, billing company owners, and RCM teams.
What happens after a claim is paid?
The claim can leave the active follow-up queue with paid amount, payment date, and payer reference details captured for the team.
What happens if a payer cannot find the claim?
Clausea flags it as a no-match or data mismatch so staff can verify member ID, service date, NPI, payer route, or claim submission evidence.
Does this replace denial appeal work?
No. It catches status and payment signals earlier. When a claim needs appeal work, it can feed Clausea's denial appeal workflow with cleaner context.
Turn status requests into a managed workflow.
Start with a small batch of claims or move straight into monthly monitoring.