Claims Status

Checking Online

After submitting a claim, you can check the status online to verify if your claim has been received, pended or finalized. You can also verify the descriptions for any claim denials.

You or your billing agent can obtain real-time results by checking claim status through the Availity® Essentials Claim Status tool. The Claim Status tool provides the equivalent of an Explanation of Benefits (EOB), including line-item breakdowns and detailed denial descriptions. All results are printable and can be used as a duplicate EOB for another insurance carrier when requested. See our Claim Status tool user guide  for more details.

Only registered Availity users can access the Claim Status tool. If you aren’t registered, go to Availity Essentials and select "Get Started" to complete the guided online registration process, at no cost. If you don’t have Availity access, you may obtain basic claim status online by completing a claim status request (276 transaction) via your preferred web vendor.

Checking via Telephone

If you don’t have online access or need to make an adjustment, you may call provider customer service numbers for assistance:

  • Commercial claims – 800-447-7828*
  • Federal Employee Program (FEP) claims – 800-634-3569
  • Healthy Montana Kids (HMK) claims – 855-258-3489
  • Medicare Advantage claims – Individual: 877-774-8592 and Group: 877-299-1008

*For commercial claims, a document claim number (claim number) is required when calling the Interactive Voice Response (IVR) sysstem to speak with an agent to make an adjustment. For more information, see our Claims Caller Guide.

Reminder: Don’t Submit Duplicate Claims

If your claim did not process the way you anticipated, it is important that you do not submit a duplicate claim for the same patient. Duplicate claims typically result in additional denials.

Questions on electronic options?

Email our Provider Education Consultants. Be sure to include your name, direct contact information, tax ID or billing National Provider Identifier (NPI).

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSMT. BCBSMT makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.

Be in the loop on important updates and policy information.