NGSConnex User Guide

View Financial Claim Number Information

Table of Contents

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View Financial Claim Number Information

The FCN can be found on the Medicare remittance advice and denotes the accounts receivable open balance that is driving the offset.

  1. Select the Financials button on the home page.

Image of the NGSConnex homepage with the Financials tab selected.
 

  1. In the Select a Provider panel, click the Select button next to the applicable provider account.

Image of the Select a Provider panel displayed in NGSConnex with the Select button highlighted by a yellow arrow.

  1. Select Financial Claim Number (FCN) Claim Detail Search or Financial Claim Number (FCN) Beneficiary Search from the Financial Options drop-down menu.

Image of the Financials applet displayed with the Financial Options menu highlighted by a yellow arrow.

  1. If Financial Claim Number (FCN) Claim Detail Search was selected, enter the following search criteria in the applicable fields and select the Search button.
    • Financial Claim Number
    • Beneficiary Medicare Number
    • Beneficiary Last Name
    • Beneficiary First Name

This is an image of the FCN Claim Detail Search where information can be entered. An error is pointing to the Financial Option and the search button

The Original Claim Line Information panel will display the original claim information for each claim line. The Adjusted Line Information panel will display the adjusted claim information for each claim line.

The following information will be provided for each claim line:

  • Claim Number
  • Line Number
  • Status
  • From Service Date
  • To Service Date
  • Place of Service
  • Procedure Code
  • Modifier
  • Quantity Billed
  • Billed/Submitted Amount for the claim line
  • Allowed Amount for the claim line
  • Paid Amount for the claim line
  • Diagnosis Code
  • Diagnosis Pointer
  • Total Billed Amount for the claim
  • Total Allowed Amount for the claim

Image of the FCN Claim Detail Search results displayed in Connex with a yellow arrow pointing to the scroll bar and Next button.

To view additional information use the dark blue scroll bar. To view each claim line select the Next button or Previous button.

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Financial Claim Number Patient Search

  1. If you selected Financial Claim Number (FCN) Beneficiary Search from the Financial Options drop-down menu. Enter the FCN Number in the applicable field.
  2. Click the Search button.

Image of the Financial Claim Number (FCN) Beneficiary Search applet displayed with a yellow arrow pointing to the Search button.

The following information will display in the Beneficiary Information panel, for the beneficiary associated with the FCN entered.

NGSConnex will display in the Patient Information panel, the following patient information associated with the FCN entered.

  • Patient First Name
  • Patient Last Name
  • From and To Date of Service
  • Patient Account Number

image of the Financial Claim Number (FCN) Beneficiary Search result screen.

You can use this information to initiate a FCN Claim Detail Search and obtain additional claim details.