Once successfully submitted, a claim will be categorised into one of the following status:
| Status | Description |
|---|---|
| nib has responded with Pending Review. The Tyro Health transaction will be in this state until nib has reviewed it and responded later with Accepted, Partially Accepted, or Rejected. | |
| One or more claim items accepted and approved by nib. Settlement not yet issued to provider. | |
| An Approved claim where payment has been issued by Tyro Heath to the provider. | |
| nib has responded with Rejected. Tyro Health will not payout the claim | |
| Tyro Health have initiated a cancellation request on the claim and nib have responded with a successful cancellation |
Some claims will be processed instantly by nib using their straight-through adjudication method. Those claims will return an approved or declined status within 30 seconds and the SDK will return that status via a callback.
However, partners will need to accommodate claims which undergo manual review and status updates hours to days post submission. For each claim, a partner can nominate one or more webhooks which fire depending on the claim status. Each successfully submitted claim will also return, via SDK callback, a Tyro Health unique transaction Id which can be used to periodically poll for current status.