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FISS/DDE Provider Online Guide: Chapter VII


About the 702 ACS Appeals Received Report

Description:

The Automated Correspondence System (ACS) master record inputs into the system so that this daily report can be created to allow providers to view which appeals were received by National Government Services. These entries will be available for 90 days before they are removed from the FISS DDE system.

Report Purpose:

The purpose is to provide a listing of appeals for the providers so they can verify that their redetermination request(s) were received and will also indicate if any appeals need to be resubmitted.

The following two screen prints show how the ACS APPEALS RECEIVED section appears on the FISS DDE online system:

SUMMARY OF ACS APPEALS RECEIVED– Left View

Summary of ACS Appeals Received screen, left view

SUMMARY OF ACS APPEALS RECEIVED– Right View

Summary of ACS Appeals Received screen,right view

The following chart describes the various fields/report headings contained within the ACS Appeals Received report.

Field/Report Heading Description
PROVIDER Provider number obtained from ACS master record.
HIC Healthcare Identification Claim number obtained from the ACS master record
DCN Document control number obtained from the ACS master record
TOB Type of bill obtained from the claim record
STMT FROM Statement from date obtained from the claim record
STMT THRU Statement thru date obtained from the claim record
CATEG Category obtained from ACS master record (Value A = Appeal)
TYPE ACS category type from ACS master record
RECEIPT DATE Date of appeal receipt obtained from ACS master record.

 

FISS/DDE Provider Online Guide: Chapter VII - About the 702 ACS Appeals Received Report
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