NGSConnex User Guide

What is NGSConnex?

NGSConnex  is a free, secure, web-based application developed by National Government Services just for you! NGSConnex provides access to a wide array of self-service functions that save you time and money, such as:

  • Obtain beneficiary eligibility information
  • Query for your claims status
  • Initiate and check the status of redetermination and reopening requests
  • View your provider demographic information
  • Query for your financial data
  • Submit documents for an Additional Documentation Request
  • Submit Credit Balance Reports
  • And More!

Why Use NGSConnex?

Each day, thousands of claims and eligibility-based inquiries and other Medicare transactions are successfully completed through NGSConnex. As a registered NGSConnex user you will have instant online access to invaluable detailed Medicare claim information and the ability to perform secure Medicare transactions, saving you time and money!

You no longer need to tie up your phone line as NGSConnex offers the same eligibility information and claim status information you previously were only able to obtain via the IVR system. You can also use the MBI Lookup tool available only in NGSConnex, if you have attempted to obtain it from the Medicare Beneficiary but have been unsuccessful.

NGSConnex also allows you to print and save information for your records. Providers typically have a standard intake process to verify Medicare beneficiary eligibility, etc. NGSConnex gives you the opportunity to document this research for your records by either printing the eligibility information or electronically capturing the information and entering it into your records.

You can also save time and money by using NGSConnex when responding to Medical Review Additional Documentation Requests. You no longer have to worry about postage, or your response getting lost in the mail or not arriving on time. You can simply upload your documents and hit submit. Using NGSConnex to respond to ADRs also provides you with an electronic record of the documentation submitted and when the response was sent.