Overview
A claim status is an easy way to check where your claim is in the process.
It tells you whether your claim has been submitted, processed, paid, or if any action is needed along the way—like a road sign guiding you through the journey.
Your claim will automatically get a status when you submit it online, and it will update as it moves through each step.
Here’s a breakdown of what each status means!
The details
DRAFT: Not Submitted
This status could indicate a couple of things. One option is that you haven’t submitted the claim. To follow through on submitting the claim, you’ll have to ensure you hit the Submit button.
You may also see this status when we’ve reached out for more information and need you to login to your Member Centre and provide us with more information. Once you make the update, you’ll need to hit that submit button again to get your claim back into our processing pipeline!
NOT PROCESSED: Claim Cancelled
If you’ve reached out to us to cancel your claim, this is the status that you’ll see reflected on the claim in your Member Centre.
NOT PROCESSED: Ineligible Claim
If you’ve submitted a claim and all of the expenses submitted were ineligible, you’ll see this status. You might also see it if we’ve reached out for more information from you, but we haven’t heard back within 5 business days.
PENDING: Awaiting Processing
Your claim has been submitted and is in queue to be processed.
PENDING: Pre-Processing
The claim is currently being processed by our team.
PENDING: Processing
The claim has been processed and is awaiting review.
PENDING: Post-Processing
The claim is being reviewed by our team. They’ll confirm everything is correct before the claim is reimbursed.
PROCESSED: Awaiting Payment
The claim has been processed and reviewed and is now ready to be queued for reimbursement.
PROCESSED: Paid
A claim with this status has been reimbursed. The claim has been processed, reviewed and the funds have been sent.
PROCESSED: Partial Reimbursement Pending
Some of the claim has been paid out, and the rest will be paid out when more funds are available.
PROCESSED: Reimbursement Error
This status lets you know that there has been an issue with the reimbursement related to direct deposit information.
When a reimbursement error occurs, our Customer Experience Team will receive a notification. They’ll reach out to you to ask you to update your direct deposit information or upload a void cheque or direct deposit form from your financial institution.
You don’t have to wait for that reach out to update your details though. You can access and update your direct deposit details at any time by logging into your Member Centre and clicking on the drop-down under your name and selecting Direct deposit.
WAITING: on Member follow-up
This status indicates that more information is required to continue processing the claim. This means that we may need supporting documentation or more information about your provider.
CLAIM: Under review
This status is applied when we’re waiting for information from our team about your Plan or waiting for a response from a regulatory body.
Anything else?
If you ever have any questions, please reach out! Our team will be happy to provide you with more information about what’s happening with your claim. You can use the Support Form link in your Member Centre, or reach out to us at osstf-hsa@blendable.ca.