Go-Live Readiness

Per-organization integration health check before enabling live claim submission.

2
Go-Live Ready
2
Needs Attention
1
Blocked / Unconfigured
Required checks must all pass before enabling live claim routing for an organization. Optional checks improve revenue cycle performance but are not blocking. Resolve all Fail items before go-live.
API Key ConfiguredRequired

A valid Claim.MD API key is saved for this organization.

Key ending ****002

Account ID SetRequired

Claim.MD account ID is populated.

HBH002

Connection Test PassedRequired

Live test returned HTTP 200.

Last tested Jan 10, 2025

Payer Mapping CompleteRequired

All active payers have a Claim.MD payer ID.

6/7 mapped — Oscar Health (P008) unmapped

Map Oscar Health
ERA Enrollment Active

ERA/835 enrollment live for at least one payer.

Active via Claim.MD for Aetna, Cigna

Eligibility (270/271) Enabled

At least one payer supports eligibility checks.

3 payers support 270/271

Rules Engine Active

Scrub rules enabled.

Pre-auth rule for Aetna recommended but not enabled

Enable Pre-Auth Rule
Bulk Sync ConfiguredRequired

Automated bulk polling scheduled.

Polling every 4 hours

API Key ConfiguredRequired

A valid Claim.MD API key is saved.

Key ending ****003

Account ID SetRequired

Claim.MD account ID populated.

SUM003

Connection Test PassedRequired

Live test returned HTTP 200.

Last tested Jan 11 — degraded (504 observed in sync)

Run New Test
Payer Mapping CompleteRequired

All active payers mapped.

4/4 payers mapped

ERA Enrollment Active

ERA/835 enrollment live.

Active for Medicare, BCBS

Eligibility (270/271) Enabled

Eligibility supported by at least one payer.

Medicare supports 270/271

Rules Engine Active

Scrub rules enabled.

RULE-002, RULE-004 active

Bulk Sync ConfiguredRequired

Automated bulk polling scheduled.

Sync failed — HTTP 504 timeout. Investigate before go-live.

View Error Queue
API Key ConfiguredRequired

A valid Claim.MD API key is saved.

No API key configured

Configure Integration
Account ID SetRequired

Claim.MD account ID populated.

Not set

Configure Integration
Connection Test PassedRequired

Live test returned HTTP 200.

Cannot test — API key required first

Payer Mapping CompleteRequired

All active payers mapped.

Cannot verify — integration not configured

ERA Enrollment Active

ERA/835 enrollment live.

Eligibility (270/271) Enabled

Eligibility supported.

Rules Engine Active

Scrub rules enabled.

Bulk Sync ConfiguredRequired

Automated bulk polling scheduled.

Cannot schedule — integration not configured

Platform Go-Live Assessment
Ready to route claims
Lakewood Family Medicine Group
CardioVascular Associates of Texas
Action required before go-live
Horizon Behavioral Health Partners
Summit Outpatient Surgery Center
MedBridge Billing Solutions