- Tips for Success
- Tips for Success
- Phonetic Alphabet
- Phonetic Alphabet
- Using Touch-Tone
- Using Touch-Tone
- Main Menu Options
- Main Menu Options
- Fast Track Access
- Fast Track Access
- Eligibility <1>
- Eligibility <1>
- Claim Status <2>
- Claim Status <2>
- Checks <3>
- Checks <3>
- Offsets <4>
- Remittance Statements <4>
- Pricing <5>
- Provider Enrollment <6>
- Provider Enrollment <5>
- Patient Status <6>
- Appeal Status <7>
- Appeals <7>
- General Information <8>
- General Information <8>
- Other Options <9>
Pricing <5>
Table of Contents
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:
Illinois:
Voice | Touch‐Tone Entry |
---|---|
Repeat | # |
Twelve | 1 |
Fifteen | 2 |
Sixteen | 3 |
Ninety-nine | 4 |
Help | * |
Maine:
Voice | Touch‐Tone Entry |
---|---|
Repeat | # |
Zero Three | 1 |
Ninety-nine | 2 |
Help | * |
Massachusetts:
Voice | Touch‐Tone Entry |
---|---|
Repeat | # |
Zero One | 1 |
Ninety-nine | 2 |
Help | * |
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.
Pricing Navigation
Voice | Touch‐Tone Entry |
---|---|
Repeat | # |
Change the procedure code | 2 |
Change NPI | 3 |
Help | * |