Receiving a Pending Status on TELUS eClaims Submission

In Noterro, you may submit a claim and receive a response from TELUS as “Pending.” This status indicates that the claim is still being processed. Here's an explanation of what might occur in such situations, particularly with Desjardins' ongoing changes to their claim processing system.

Desjardins Claim Processing Updates:

• Desjardins is upgrading their claim processing system for 2021.
• Some policies/groups will have the capability for real-time claim processing, allowing payments to be sent directly to providers, clinics, or organizations.
• For other policies/groups, claims will continue to be accepted but processed later, resulting in acknowledgments marked as “claim pending.” In these cases, payments will go to the insured members.
• By the end of 2021, Desjardins aims to fully implement real-time/automatic processing for all groups, ensuring payments go directly to the provider or clinic for all processed claims.

Important Note: If a claim is marked as pending and processed at a later time, the payment will be sent to the insured member. It is crucial to update the Explanation of Benefits (EOB) and ensure payment collection from your patients accordingly.

Staying informed about these updates ensures efficient management of claims and financial transactions within your clinic.