What does the status of "TRANSMIT" mean on an Inovalon claim that I've submitted? I am waiting to see status "ACK_FINAL", then "PAID".

Purpose:

To explain the "TRANSMIT" status in Inovalon's claim lifecycle and set expectations for subsequent status updates (ACK_FINAL → PAID).

Scope:

This article covers:

1. Interpretation of "TRANSMIT" status
2. Expected next statuses in the adjudication workflow 
   Excludes:
3. Troubleshooting stuck claims
4. Payer-specific processing times
5. Manual status updates

Procedure:

1. Status Monitoring:
   1. "TRANSMIT" = Claim en route to payer
   2. Next expected status: ACK_FINAL (payer acknowledgment)
   3. Final status: PAID/DENIED (adjudication complete)
2. System Updates:
   1. Inovalon auto-updates status upon payer response

-

This means that the claim is being transmitted out to your payer but still waiting for final processing. Once Inovalon gets an update from the payer their system the status will be changed to ACK_FINAL.