SPOT claim features

The Claims menu in SPOT includes much more than claim status. Claim status is the most frequently used feature, but other helpful features are available here, too. The claim summary, medical review (MR) claims, and provider data summary (PDS) features are also valuable portal resources.

• Claim status – this popular feature offers the most up to date status of claims as early as two business days after being submitted electronically. Claim status also offers direct links to the claim status summary and appeal options available for each Part B claim. This makes it quick and easy to submit correction requests when needed.
• Claim summary and PDS – these features provide summary data. Claims summary provides a nice snapshot of different claim counts for your organization. The PDS report allows a comparison of billing patterns with similar provider/facility types to help identify billing patterns and potential concerns. 
• MR claims – this is where you can find the case number, claim number, education details, and the additional documentation request (ADR) letter for any claims pending a medical review. The ADR letter available through this feature provides an electronic file of the letter required when submitting an ADR response.

Detailed instructions and screen images for each of these features are available in the SPOT User Guide – Section 5. If you are not familiar with SPOT, it is our free online portal for providers, billing services, and clearinghouses. To request access, visit our website for information on How to register for SPOT.