Why does a claim status say, Accepted 999, but the provider hasn’t been paid?

The claims status Accepted 999 means the clearinghouse received the claim file. The claim record(s) are sent to the payer after it passes the clearinghouse validations. The claim is paid after the claim record(s) are processed and approved by the payer. After the claim is processed by the payer, an Explanation of Benefits (EOB) is sent to the patient and a Remittance is sent to the provider.

Claim Status	Status definition
Not Submitted	The claim has not been submitted.
Submitted	The claim is submitted and is pending response.
Accepted 999	The claim file has passed clearinghouse validations.
Rejected 999	The claim file has failed clearinghouse validations. Corrections are needed.
Unexported	Previously submitted claims have been unexported.
Resubmitted	Previously submitted claims have been resubmitted.
Accepted 277ca	The claim record(s) have passed clearinghouse validations. The claim file is sent to the payer for processing.
Rejected 277ca	The claim record(s) have failed clearinghouse validations. Corrections are needed.
Compliance Pass	This means the claim is submitted and it passed initial validation, pending a response from the payer.