Last Modified: 2/10/2012
Location: FL, PR, USVI
Business: Part B
Top Part B inquiries
Would you like to reduce the time you spend contacting Medicare?
Listed below are the topics which the Part B provider contact center received the most inquiries about during the month of December 2011 throughout jurisdiction 9 (J9), which encompasses Florida, Puerto Rico, and the U.S. Virgin Islands. This list is updated monthly. We have included tips and resources to help you avoid or reduce the amount of time you spend on many of these issues.
• Remember: Questions about claim status, patient eligibility (Medicare, MSP and Medicare Advantage [formerly Medicare HMO]), deductible information, and your financial information (last three checks, month/year to date dollar amounts), as well as most clerical reopening requests for single-line claims must go through the Interactive Voice Response unit or IVR. Contact the Part B IVR by calling 1-877-847-4992. Refer to the Medicare Provider Part B IVR Quick Reference Guide
for instructions.
If you have a question related to:
• Claim adjustment inquiry -- click here
• Claim denials -- click here
• Clerical error reopenings -- click here
• Coding errors/modifiers/global surgery -- click here
• Medicare as a secondary payer (MSP) -- click here
• Obtaining a patient's eligibility information -- click here
• Obtaining a copy of a remittance notice -- click here
• Provider enrollment applications, status or information -- click here
• Revalidation initiative -- see Revalidation FAQs
• Status of resolution of a claim appeal -- click here
• Unprocessable claims -- click here
• Other common tips on inquiries and denials -- click here
For inquiries other than those listed above, contact FCSO’s Provider contact center. When calling the Provider contact center, make sure you have all the information necessary for the call. You can do this by viewing the Provider inquiry checklist.
Source: FCSO Education Action Team