Interactive Voice Response User Guide

Pricing <5>

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Pricing <5>

When Pricing is selected, the IVR will request and collect the following elements:

  • NPI
  • PTAN
  • Last five digits of the TIN

The states of Illinois, Maine, Massachusetts and New York have multiple fee schedule pricing localities. For these states, the IVR will require the pricing locality. The following is the navigation for these pricing localities:

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Illinois:

Voice Touch‐Tone Entry
Repeat #
Twelve 1
Fifteen 2
Sixteen 3
Ninety-nine 4
Help *

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Maine:

Voice Touch‐Tone Entry
Repeat #
Zero Three 1
Ninety-nine 2
Help *

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Massachusetts:

Voice Touch‐Tone Entry
Repeat #
Zero One 1
Ninety-nine 2
Help *

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New York:

Voice Touch‐Tone Entry
Repeat #
Zero One 1
Zero Two 2
Zero Three 3
Zero Four 4
Ninety-nine 5
Help *


Next, the IVR will ask for the following elements:

  • Procedure code
  • Modifier (if none, say no modifier)
  • Locality
  • Date of service

Refer to the Phonetic Alphabet for assistance with speaking alpha characters.

Once authentication is met, and the required elements are provided, the IVR will supply the allowed amount from the provider fee schedule.

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Pricing Navigation

Voice Touch‐Tone Entry
Repeat #
Change the procedure code 2
Change NPI 3
Help *