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Agreement Statuses

Below you will find a list of possible agreement statuses

Status

Definition

Agreement cannot be updated. Customer must complete a new agreement.

Customer must complete a new agreement.

Authorized

Represents a payer authorization and a completed setup at RelayHealth.

Authorized Exception

Agreements where the payer has authorized some but not all of the providers on the agreement.

Canceled

Represents a customer request that an agreement be cancelled at RelayHealth.

Closed

Forms closed unrelated to standard agreement activity.

Deauthorized

Customer requests that the authorization be removed at RelayHealth.

Denied - Payer

Represents a denial by the payer; a new agreement must be submitted to RelayHealth.

Denied - Pending

Represents a denial by RelayHealth (typically missing provider information); Information can be sent via return e-mail.

Denied - Pending Expired

Agreement has been held in a Denied-Pending status for 90 or more days without receiving updated provider information.  

Denied - Pending Updated

RelayHealth has received updated provider information from customer and the agreement has been re-entered into the system for review.

Denied - Rejected

Represents a denial by RelayHealth; a new agreement must be submitted to RelayHealth.

Needs Test

Represents a payer approval, but the payer requires testing data for the provider.

Open

Agreement is pending approval with the payer.

Pending Setup

Represents a payer authorization with additional setup required at RelayHealth.

Pending Receipt

Agreement is pending Customer.  An item is required to be submitted to attach to the agreement submitted.  In example: Original form required to be mailed. Pending receipt of agreement to be received in the mail

Receive

Received by RelayHealth and is pending review.