# How to Check Medicaid Claim Status for NEMT in 2027: Portals, Phone Lines, and Broker Systems

Canonical URL: https://nemtguide.com/guides/check-medicaid-claim-status/ · Updated 2026-09-29

To check Medicaid claim status, look up the claim in your state's provider portal, call its automated phone line, or send a 276 inquiry from your billing system, using the member ID, date of service, and claim number. For broker trips, check the broker's portal. Then act on the status: fix and resend rejected claims, wait on pending ones, and correct or appeal denials.

- A claim rejected before processing never shows up on your remittance, so check acceptance reports and claim status, not only payments.
- State portals such as ePACES, TexMedConnect, and the Indiana provider portal show paid, denied, and pending claims.
- Pending and suspended claims are still being worked. Texas and Medi-Cal both say not to appeal or file an inquiry on them yet.
- Search with the member ID and date of service, and add the payer's claim number when you have it.
- Check status before you resend a claim, so a second copy does not deny as a duplicate.

When a payment is missing, the claim usually never arrived, was rejected at the door, is still being worked, or was denied. Each needs a different fix, and only a status check tells you which one you have. This guide shows where to look in the main state systems and broker portals, what every status means, and what to do next.

## Where to check Medicaid claim status

Fee-for-service claims live in the state's Medicaid Management Information System, the claims system CMS describes as the state's computer processing operations for claims control and service to providers. Each state gives providers a way in: a web portal, a phone line, or an electronic inquiry from your billing system. These five show how it works, as of September 2026.

| Payer | Where to look | What to know |
|---|---|---|
| New York (eMedNY) | ePACES Claim Status Inquiry, or the eMedNY Call Center at 800-343-9000 | Works for claims sent on paper or electronically. Search by the member's Client ID and the first date of service. Returns the last 10 matching claims processed in the past 2 years. |
| Texas (TMHP) | Claim status inquiry in TexMedConnect, or the automated inquiry line at 800-925-9126 | The line tells you if a claim is pending, paid, or denied, or if TMHP has no record of it. The weekly Remittance and Status report lists every paid, denied, and pending claim. |
| California (Medi-Cal) | Provider Telecommunications Network at 1-800-786-4346, 7 a.m. to 8 p.m., seven days a week, or a 276 inquiry through the Medi-Cal Provider Portal | The phone line needs your provider PIN. Search by the 13-digit Claim Control Number, or by the recipient ID and date of service. Portal 276 inquiries need no testing. |
| Arizona (AHCCCS) | AHCCCS Online, or a 276 inquiry through your billing system | The portal shows every edit on a claim. Electronic inquiries cover dates of service up to 27 months back. |
| Indiana (IHCP) | Search Claims in the IHCP Provider Healthcare Portal | Shows claims from as many as seven previous years, in any status: paid, denied, or suspended. |

For trips a [broker](https://nemtguide.com/glossary/nemt-broker/) assigned, the claim lives in the broker's system instead. See the broker section below.

### In New York, step by step

ePACES answers in real time, and eMedNY's guide (revised November 18, 2024) sets out the steps:

1. **Pick the right provider.** Claim status inquiries should use the individual provider ID, not the group ID.
2. **Open Status Inquiry.** Enter the member's Client Identification Number (CIN).
3. **Add the dates.** A From date of service is required. If you are unsure, enter a likely range.
4. **Narrow it down.** Add the claim amount or the Transaction Control Number (TCN), if you have them.
5. **Read the response.** Open Status Response. You will see the TCN, the amount charged and paid, the remittance or EFT trace number and date, and the claim status codes.

ePACES also tracks each inquiry as Sent, Received, Viewed, or Worked. Worked means the follow-up is done, so the list doubles as a to-do list.

## What you need to look up a claim

Every lookup starts with the same facts: the member's Medicaid ID, the date of service, and the amount you billed. The fastest search uses the payer's own claim number, which each system names differently.

| Payer | Claim number name | Format |
|---|---|---|
| New York | Transaction Control Number (TCN) | 16 digits, assigned to every claim, even rejected ones |
| Texas | Internal Control Number (ICN) | 24 digits, built from the program, claim type, region, year and day received, batch, and sequence |
| California | Claim Control Number (CCN) | 13 digits |
| Arizona | Claim Reference Number (CRN) | 12 characters, assigned by AHCCCS |
| Indiana | Claim ID | Shown in the portal, and given to portal claims as soon as they are sent |

Put your own trip number on every claim as the patient account number. ePACES shows it in the claim status response, and Arizona's 276 inquiry can search by it. Then every answer points straight back to one trip in your records, the same way it does on your [remittance advice](https://nemtguide.com/guides/read-remittance-advice/).

## What each claim status means and what to do next

Behind every portal is a national code list. X12 publishes the claim status category codes (list as of September 2026), and each response pairs a category with a more detailed status code. Arizona's claim status companion guide (February 2023) shows real examples: F1 with code 65 for a paid claim, F2 with code 84 for a service that was not authorized, D0 with code 35 for a claim that could not be found, and F1 with code 101 for a claim paid as an adjustment.

| What you see | X12 category | What it means | Your next step |
|---|---|---|---|
| Not found | D0 or A4 (status code 35) | The payer has no claim matching your search | Check the provider ID and dates, then your acceptance reports. If it never arrived, resend it before your deadline. |
| Received | A1 | The claim arrived but is not yet accepted for processing | Wait for the acceptance report |
| Rejected | A3, A6, A7, or A8 | The claim failed front-end checks and never entered processing | Fix the error the report names, and send it again as a new claim |
| Accepted | A2 (status code 20) | The claim is in the processing system | Wait for the payment cycle |
| Pending or suspended | P0 to P5 | The claim is being reviewed, priced, or held | Wait. Act only if the payer asked you for something (P3). |
| More information needed | R0 to R17 | The payer wants documents or details | Send exactly what was asked, by the date given |
| Paid | F1 (status code 65) | The claim or line was paid | Match it to your remittance and bank deposit |
| Denied | F2 | The claim was processed and refused | Read the reason code, then correct or appeal |
| Adjusted | F3, or F1 with status code 101 | The first decision was changed | Find the reversal and the new payment on your remittance |
| Finished, no payment | F4 | Processing is complete and no more payment is coming | Read the reason codes on the remittance |

State systems add their own words on top of these codes:

- **Indiana's portal** shows Finalized Payment, Finalized Denied, or Pending in Process.
- **Texas** lists pending claims on the Remittance and Status report under "The Following Claims are Being Processed", with up to five pending status codes each. TMHP says these messages are not a final decision.
- **New York's remittance** marks each claim PAID, DENY, or PEND. Two asterisks mark a new pend and one marks a claim pended before.
- **Medi-Cal's Remittance Advice Details** lists adjustments, approves, denies, and suspends.

For the reason codes on a denial, see [NEMT claim denials](https://nemtguide.com/guides/nemt-claim-denials/).

### Why claims sit in pending

New York pends claims that need medical review or manual pricing, or that do not match its files, such as the member ID or the prior approval number. A pend clears when the review is done, a match is found, or the recycling time runs out. Indiana routes suspended claims to review staff and works the oldest ones first. Medi-Cal suspends claims that need manual review and shows them on the remittance with a suspend code. Once a claim has been in the system more than 30 days, it stays on each remittance until it is paid or denied.

Leave pending claims alone. Texas says claims being processed cannot be appealed until they show as paid or denied, and Medi-Cal says not to file a Claims Inquiry Form for claims listed as suspends on the latest remittance. A resent copy can deny as an exact duplicate under reason code 18.

## Rejected is not denied, and the difference costs money

A rejected claim never reaches the payer's decision process, so it never appears on your remittance. New York says a claim that fails its pre-processing edits will not go on to adjudication. Texas says only claims accepted on its Claim Response report are considered for payment and made available for claim status inquiry. Indiana reports some billing provider errors only on a daily 277U file to the submitter. If you watch only your deposits, a rejected claim looks like a slow one until the filing deadline passes.

The fix differs too:

- **Rejected claims** are corrected and sent again as new claims. They were never processed, so there is nothing to adjust.
- **Denied claims** are corrected or appealed. In ePACES, only a paid claim can be replaced, so a denied claim is edited and sent as a new original. Arizona lets a replacement adjust a paid or denied claim within 12 months of the date of service.

Keep your rejection reports. In Texas, a rejection report dated within 365 days of the date of service can prove you met the 365-day federal filing deadline. See claim rejection vs denial, [corrected NEMT claims](https://nemtguide.com/guides/corrected-nemt-claims/), and [how to appeal a denied claim](https://nemtguide.com/guides/appeal-denied-nemt-claim/).

## When to check, payer by payer

Check when a claim should have landed and has not. These are the signposts each payer gives, as of September 2026.

| Payer | When the claim should show up | Deadlines to watch |
|---|---|---|
| New York | 999 report generally within 2 hours, claim acceptance report within 4 hours, remittance after the weekly cycle | Your filing limit, from the date of service |
| Texas (Medical Transportation Program) | On the Remittance and Status report within 10 business days for electronic claims, at least 30 days for paper | 95 days from the date of service to file, and 120 days from the report date to appeal |
| Indiana | Clean electronic claims decided within 21 days, paper within 30 | 180 days from the date of service to file |
| California | Suspended claims stay on each remittance after 30 days in the system, until paid or denied | Six months after the month of service to file, six months from the remittance for a Claims Inquiry Form, 90 days to appeal |
| Arizona | Edits visible in AHCCCS Online as the claim processes | 6 months to file, 12 months to reach clean claim status |

Federal rules set the outer limit. States must pay 90 percent of clean claims from practitioners within 30 days of receipt and 99 percent within 90 days ([42 CFR 447.45](https://www.ecfr.gov/current/title-42/section-447.45)). See [how long Medicaid takes to pay](https://nemtguide.com/guides/how-long-medicaid-takes-to-pay/) for each payment calendar, and the [timely filing limit](https://nemtguide.com/glossary/timely-filing-limit/) for how deadlines are counted.

## Checking status for broker trips

When a broker pays your trips, the state portal will not show them. The broker's system is the place to look, as of September 2026.

| Broker and program | Where to check | What to know |
|---|---|---|
| MTM Health, Virginia fee-for-service (trips from October 1, 2026) | The claims and appeals section of MTM Link | Denied claims can be appealed in the online claims portal within 365 calendar days. Call your field monitor to void a claim sent in error. |
| Verida, Indiana fee-for-service | The claims line at 678-510-4600, option 2, 8 a.m. to 6 p.m. Eastern, Monday to Friday, and the remittance advice for each payment cycle | Verida takes claims online and trains new providers on it. Clean claims in by Wednesday are paid within 14 days. |
| MediTrans, Louisiana | The MediTrans Provider Portal, which shows payment and billing information, or billing@meditrans.com | Clean claims take 7 to 14 business days, and payments go out every other Friday |
| Modivcare | The transportation provider portal, which supports billing and claims | Billing rules differ by state contract, so check your Modivcare agreement |

In New York, the trip's prior authorization number comes from the transportation roster, but the claim goes to eMedNY, so check it in ePACES. See [how to bill NEMT brokers](https://nemtguide.com/guides/how-to-bill-nemt-brokers/) and the broker pages for [MTM Health](https://nemtguide.com/brokers/mtm-health/), [Verida](https://nemtguide.com/brokers/verida/), [MediTrans](https://nemtguide.com/brokers/meditrans/), and [Modivcare](https://nemtguide.com/brokers/modivcare/).

## Checking status electronically with a 276 and 277

If you bill through software or a clearinghouse, it can ask for status for you. HIPAA's standard is the X12 276 inquiry and 277 response, version 005010X212 ([45 CFR 162.1402](https://www.ecfr.gov/current/title-45/section-162.1402)). Since January 1, 2013, health plans have also had to follow the CAQH CORE claim status operating rules ([45 CFR 162.1403](https://www.ecfr.gov/current/title-45/section-162.1403)):

- **Real time.** A 277 response within 20 seconds, for at least 90 percent of inquiries in a month.
- **Batch.** An inquiry sent by 9 p.m. Eastern on a business day is answered by 7 a.m. Eastern the next business day.
- **Uptime.** The system is available at least 86 percent of each calendar week, and scheduled downtime is published.

Those operating rules cover the electronic transaction, not web portals or direct data entry. State practice varies. New York generally answers batch claim status inquiries within 24 hours and offers real-time inquiries through CORE Web Services. Arizona checks that the provider ID in your inquiry is affiliated with the service provider before it answers.

A weekly batch inquiry covers every claim past its expected date in one step, with no phone calls.

## A weekly claim status routine

1. **Read the acceptance reports.** Look at every 999 and claim acceptance report from last week's files, and resend each rejection.
2. **List the open claims.** Every trip billed but not yet paid or denied, sorted by date of service.
3. **Flag the late ones.** Mark each claim past the time its payer gives, such as 10 business days in Texas.
4. **Check status.** Run a batch 276, or look each one up in the portal or broker system.
5. **Sort by status.** Not found and rejected claims go out again now. Pending claims wait. Requests for information get answered this week.
6. **Work the denials.** Correct your own errors, and appeal the payer's, in deadline order.
7. **Match the payments.** Tie each paid claim to its remittance line and deposit.
8. **Log what you did.** Note the date, status, and next step on each claim, using a claim denial log.

The [accounts receivable guide](https://nemtguide.com/guides/nemt-accounts-receivable/) shows how to age what is left.

## When the status does not make sense

- **Paid, but no money.** Look at the remittance date and trace number in the status response, then match it to your deposits. ePACES shows both.
- **No record after you sent it electronically.** Texas says a claim missing from the report after 10 business days may mean a transmission failure, a file rejection, or a claim rejection. Check your transmission reports, then call TMHP. If it has no record and you are still inside the filing deadline, send the claim again.
- **Past the filing deadline because of a rejection.** In Texas, if the 95-day deadline has passed but you are within 120 days of the rejection report, you can send a signed copy of the claim, the rejection report, and the other records of the first submission to TMHP's Inquiry Control Unit.
- **Pending for weeks.** Ask the payer what the claim is waiting for. In New York, a claim pends when its member ID or prior approval number does not match the state's files, so compare the claim with the transportation roster.
- **Nothing at all for a broker trip.** Confirm the trip was completed and closed in the broker's system. MTM Health's Virginia handbook says a claim is denied if the trip is not in a completed status when it is submitted.
- **Every claim failing the same way.** Stop sending and fix the cause. See [how to submit NEMT claims electronically](https://nemtguide.com/guides/submit-nemt-claims-electronically/) for the setup errors that reject whole files.

## Frequently asked questions

### How soon after billing can I check claim status?

It depends on the payer. New York generally returns a claim acceptance report within 4 hours of a batch file. Texas tells electronic billers to allow 10 business days for a claim to appear on the weekly Remittance and Status report, and at least 30 days for paper. Indiana's claims processor must decide clean electronic claims within 21 days, except claims under medical or prepayment review, as of its February 2026 manual.

### Why can't Medicaid find my claim?

Either it never arrived, it was rejected before processing, or your search does not match it. Check the acceptance reports for that file first. Then check the search: New York wants the individual provider ID rather than the group ID, and Arizona's 276 searches reach back 27 months. If the payer truly has no record, resend the claim before your filing deadline.

### What is the difference between a rejected claim and a denied claim?

A rejected claim failed the payer's front-end checks and never entered processing, so it has no decision and no remittance line. You fix it and send it again as a new claim. A denied claim was processed and refused, and it appears on your remittance with reason codes. You correct it or appeal it, within the payer's deadline.

### Should I resend a claim that is still pending?

No. A pending claim is still in the payer's system. Texas says claims listed as being processed cannot be appealed until they show as paid or denied. Medi-Cal tells providers not to file a Claims Inquiry Form for claims listed as suspends on the latest remittance. A second copy of a claim can be denied as an exact duplicate, reason code 18.

### Can I check claim status by phone?

In most states, yes. As of September 2026, Texas runs an automated inquiry line at 800-925-9126. Medi-Cal's Provider Telecommunications Network, 1-800-786-4346, gives claim status from 7 a.m. to 8 p.m., seven days a week, with your provider PIN. New York's eMedNY Call Center is at 800-343-9000. For Verida trips in Indiana, the claims line is 678-510-4600, option 2.

### How far back can I look up a claim?

Each system has its own limit. New York's ePACES returns claims processed in the past 2 years. Arizona's electronic claim status inquiry covers dates of service up to 27 months back. Indiana's provider portal shows claims from as many as seven previous years. Medi-Cal's phone line searches the last 12 weeks of paid and denied claims first, then pending ones.

## Official resources

- [eMedNY: How to run a claim status inquiry in ePACES](https://www.emedny.org/HIPAA/QuickRefDocs/ePACES-Claim_Status_Inquiry_Response.pdf)
- [TMHP: Claims Filing section, including claim status inquiries](https://www.tmhp.com/sites/default/files/file-library/resources/provider-manuals/tmppm/pdf-chapters/2026/2026-09-september/1_06_claims_filing.pdf)
- [Medi-Cal: Provider Telecommunications Network instructions](https://mcweb.apps.prd.cammis.medi-cal.ca.gov/file/manual?fn=provtele.pdf)
- [AHCCCS: 276/277 claim status companion guide](https://www.azahcccs.gov/Resources/Downloads/EDIchanges/AZ276_277_CG.pdf)
- [Indiana Health Coverage Programs: Provider Healthcare Portal guide](https://www.in.gov/medicaid/providers/files/modules/provider-healthcare-portal.pdf)
- [X12: Claim status category codes](https://x12.org/codes/claim-status-category-codes)