FISS DDE Provider Online Guide

Resources


Online System Menu Quick-Reference

Main Menu Inquires Submenu (01) Claims/Attachments
Submenu (02)
01 – Inquires
02 – Claims/Attachments
03 – Claims Correction
04 – Online Reports View
10 – Beneficiary/CWF
11DRG (Pricer/Grouper)
12 – Claim Summary
13 – Revenue Codes
14 – HCPC Codes
15 – DX/Proc Codes
16 – Adjustment Reason Codes
17 – Reason Codes
19 – ZIP Code File
1AOSC Repository Inquiry
56 – Claim Count Summary
67 – Home Health Pymt Totals
68ANSI Reason Codes
FI – Check History
1B - DX/PROC Codes ICD-10
1C - CMHC Payment Total
Claims Entry:
20 – Inpatient
22 – Outpatient
24SNF
26 – Home Health
28 – Hospice
49NOE/NOA
87 – Roster Bill Entry  

Attachment Entry:
41 – Home Health
54DME History
57ESRD CMS-382 Form

 

Claims Correction Submenu (03) Online Reports View
Submenu (04)
Claims Correction:
21 – Inpatient
23 – Outpatient
25 – SNF
27 – Home Health Health
29 – Hospice

Claim Adjustments:
30 – Inpatient
31 – Outpatient
32 – SNF
33 – Home Health Health
35 – Hospice
Claim Cancels:
50
– Inpatient
51 – Outpatient
52 – SNF
53 – Home
55 – Hospice

Attachments:
42
– Pacemaker
43 – Ambulance
44 – Therapy
45 – Home
R1 – Summary of Reports
R2 – View a Report
R3 – Credit Balance Form 838

Revised 9/13/2018