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Interactive Voice Response

State/Jurisdiction

Interactive Voice Response (IVR)

 

California, Guam, Hawaii, Nevada, Northern Mariana Island, American Samoa

866-380-4745

 

Connecticut, Delaware,
Massachusetts (00308), New York

877-567-7205

 

Illinois, Wisconsin

877-309-4290

 

Indiana, Michigan

866-419-9462

 

Kentucky, Ohio

866-289-6501

 

Maine, Massachusetts (00181),
New Hampshire, Vermont

866-539-5593

 

Virginia, West Virginia

877-908-8474

 

Home health, hospice, & federally qualified health center (FQHC) providers only: Alaska, Arizona, California, Hawaii, Idaho, Nevada, Oregon, Washington, American Samoa, Guam, Northern Mariana Island

866-277-7287

 

Home health, hospice, & FQHC providers only: Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont

866-275-7396

 

Home health, hospice, & FQHC providers only: Michigan, Minnesota, New York, New Jersey, Wisconsin, Puerto Rico, U.S. Virgin Islands

866-275-3033

 

Hours Available*

Monday – Friday: 6:00 a.m. – 7:00 p.m. Eastern Time (ET)

Saturday: 7:00 a.m. – 3:00 p.m. ET

* Interactive Voice Response (IVR) hours represent general availability for access to all menu options. The IVR is available 24-hours a day, seven days a week. Menu options that require system access (e.g., the Common Working File) are limited to that systems availability.

The Centers for Medicare & Medicaid Services (CMS) requires that Medicare contractors offer self-service options to their providers for general inquiries. CMS also requires providers to utilize those self-service options, such as the IVR. As a result, National Government Services has developed an IVR system to assist you in answering a number of general questions. The IVR uses natural language and text-to-speech technology that responds to your voice. Touch tone is also available throughout the application, as needed.

You can obtain information such as patient eligibility, claim status, check and remittance information, and some general information. Our Customer Care Contact Center representatives are available to assist you with more complex inquiries that require extra time and attention.

The IVR is maintained on a separate line from our customer care representatives and is available beyond the normal contact center hours. As a result, you have greater access to the information you need when you need it.

Please Note: Based on CMS requirements, if you call a customer care representative with a question that can be answered by the IVR, you will be referred back to the IVR.

Part A IVR User Guide external PDF

Part A IVR Flow Chart external PDF

Part A IVR Navigation external PDF

Part A Touch-Tone Card/Eligibility Checklist external PDF

Using the IVR to Avoid Top Claim Rejections

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