- 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>
Appeal Status <7>
When Appeal Status is selected, the IVR will request and collect the following information:
- NPI
- PTAN
- TIN
- HICN or MBI
- Refer to the Phonetic Alphabet for assistance with speaking alpha characters
- Beneficiary first and last name (last name and first initial if using touch-tone)
- DCN of Appealed Claim
Once the authentication elements have been verified, the IVR will supply the following:
- No appeal in the system for that DCN
- Wait a few days and try again. If appeal is still not located in the system after ten days, please contact our Provider Contact Center using the information in the Contact Us section
- our website.
- Appeals receipt date
- Appeal finalized on (date)
- Letter regarding determination was sent on (date)
- If no letter was mailed, refer to remittance advice for claim details
- Appeal pending
- Refer to the website for contractor Appeal processing time frame requirements in the Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) 100-04, Medicare Claims Processing Manual, Chapter 29