IVR Quick Reference Guide: Medicare Provider Part B

877-477-4992

Helpful tips when using the IVR

  • Use a telephone with a handset or headset
  • Avoid using a speakerphone or cell phone
  • Avoid calling from areas with loud background noise.
  • Speak the requested information clearly

Areas where validation is required

  • Status Items – National Provider Identifier (NPI), Provider Transaction Access Number (PTAN), Tax Identification Number (TIN), Beneficiary Medicare ID & Name as shown on the Medicare Card, Date of Service.
  • Pending Provider Claims – National Provider Identifier (NPI), Provider Transaction Access Number (PTAN), Tax Identification Number (TIN)
  • Provider Check Information – National Provider Identifier (NPI), Provider Transaction Access Number (PTAN), Tax Identification Number (TIN)

 

To enter the alphabetical portion of any name or number, you must indicate you are entering an alphabetical character, by pressing the * key. Second, press the key containing the letter you wish to enter. Third, press the number 1,2 or 3 depending on the position of the number of that key. (#) should be used at the very end.

For Example: To enter A, press *, 2, 1#
                   To enter B, press *, 2, 2#

When touchtone is required, enter the two-digit month, two-digit day, and the four-digit year (Both two and four-digit year accepted when using touchtone only.)

Main menu

For training and holiday closures, hot topics, upcoming events and frequently asked questions, press 1

To receive claim and correspondence status or request a telephone reopening, press 2

For pending and payment floor claims or to receive month and year-to-date dollar amounts currently on file, press 4

To receive check information, press 5

Remittance code definitions, pricing of procedure code, and prior authorization inquiries, press 6

For enrollment information, press 7

Check history by check number

  • From the main menu, press 5, then press 3

Check history by issue date

  • From the main menu, press 5, then press 2

Claim status

  • From the main menu, press 2, then press 1

Correspondence status

  • From the main menu, press 2, then press 2
  • Receive info on another claim, press 2
  • To receive info on a different control number, press 3
  • To receive info on a different provider number, press 6

Enrollment status

  • For main menu, press 7

Last three checks

  • From the main menu, press 5, then press 1

Medicare Advantage name and address

  • From the main menu, press 3 then press 4

Training and holiday closures, hot topics, upcoming events, and FAQs

  • From main menu press 1
    • Training and holiday closures, press 1
    • Hot topics, press 2
    • Provider outreach and education information, press 3
    • For frequently asked questions, press 4
    • For hours of operation, press 5
    • For Medicare Advantage Plan name, address, and telephone number, press 6
    • To repeat this menu, press 7

Month or year-to-date dollar amount

  • From the main menu, press 4, then press 2
  • To receive information on different provider number, press 1

Pending claims

  • From the main menu, press 4, then press 1
  • To receive information on different provider number, press 1

Pricing information

  • From the main menu, press 6, then press 2

Prior authorization information

  • From the main menu, press 6, then press 3

Remittance code definitions

  • From the main menu, press 6, then press 1

Telephone reopening of a claim

  • From the main menu, press 2, then press 3

  • For changes to the date of service, press 1

  • To add, delete, or change a modifier, press 2

  • To change a diagnosis, press 3

  • To change a procedure code and billed amount, press 4

  • To change the quantity billed and billed amount, press 5

  • To update the ordering or referring provider information, press 6

 

To better serve you, First Coast Service Options’ customer service hours of operation are Monday through Friday 8 a.m. – 4 p.m. ET/CT. The IVR is available 24 hours a day, 7 days a week to assist with general information. Our website address is medicare.fcso.com.