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Last Modified: 3/8/2010 Location: FL, PR, USVI Business: Part A

Top Part A provider inquiries

Would you like to reduce the time you spend contacting Medicare?

Listed below are the topics for which the Part A provider contact centers received the most inquiries during the month of January 2010. This list is updated monthly and includes tips and resources to help you avoid or reduce the amount of time spent on many of these issues.
• Remember: Questions about claim status, patient eligibility (Medicare, Medicare as a secondary payer [MSP] and Medicare Advantage [formerly Medicare HMO]), deductible information, and your financial information (last three checks, month/year to date dollar amounts) can be answered via direct data entry (DDE) or must go through the Interactive Voice Response unit or IVR. Contact the Part A IVR by calling 1-877-602-8816. Refer to the Part A Quick Reference Guide pdf file for instructions.

If you have a question related to:

• 1500/UB04 (uniform billing) form item -- click here
• Cancellation of claim, a returned claim, or a claim billed in error -- click here
• Claim information change -- click here
• Claim not on file -- click here
• Claim processing error -- click here
• Coding errors/modifiers -- click here
• Common working file (CWF) rejects -- click here
• Filing/billing instructions -- click here
• Medicare secondary payer (MSP) general inquiry -- click here
• Patient's MSP record -- click here
• Overlapping claims -- click here
• Patient status codes -- click here
• Payment explanation calculation inquiry -- click here
• Status/explanation/resolution inquiry -- click here
• Status of pending claim -- click here
Source: FCSO Education Action Team