Claims & EDI
Appeals
Find information regarding the appeals process such as the various levels and how to appeal Medicare coverage and payment decisions.
Billing & Coding
Find the latest news pertaining to Medicare billing and general coverage changes, find tools to improve your billing, locate deductible information, find modifier details, ICD-10 resources and more.
Claims Resources
Learn how to submit claims, access submission guidelines, view processing issues, check claims status, and learn tips to avoid claim denials and rejects.
Electronic Data Interchange
Learn how to begin submitting your claims electronically with EDI. Electronic services also include remittance, claim status, and more. Access the necessary forms and information to get started today.
Fee Schedules
Use our interactive fee lookup tool,download data files containing the most recent fee schedule information to use in developing a database of fees.
SPOT
The SPOT portal offers providers the convenience of online access to essential Medicare data, including claim submission and status, payment history, benefits/eligibility information, and data reports. It also serves as an alternative submission channel for additional development response (ADR), appeal, overpayment, and reopening forms.