- Introduction
- Chapter I - Online System Terminology
- Chapter II - Online Menu Functions Overview
- Chapter III - Navigating the Online System
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Chapter IV - Inquiries Submenu (01)
- Accessing the Inquiries Submenu
- Beneficiary/CWF (10)
- DRG (Pricer/Grouper) (11)
- Claim Summary (12)
- Revenue Codes (13)
- HCPCS Codes (14)
- DX/Proc Codes ICD-9 (15)
- Adjustment Reason Codes (16)
- Reason Codes (17)
- ZIP Code File (19)
- OSC Repository Inquiry (1A)
- Claim Count Summary (56)
- Home Health Payment Totals (67)
- ANSI Reason Codes (68)
- Invoice Number/DCN Translator (88)
- DX Proc Codes ICD-10 (1B)
- Community Mental Health Centers Services Payment Totals (1C)
- Check History (FI)
- Provider Practice Address Query (1D)
- New HCPCS Screen (1E)
- Opioid Use Disorder (OUD) Demo 99 (1F)
- Chapter V - Claims and Attachments Submenu (02)
- Chapter VI - Claims Correction Submenu (03)
- Chapter VII - Online Reports View Submenu (04)
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Resources
- Part A Electronic Medicare Secondary and Tertiary Payer Specifications for ANSI Inbound Claim
- Electronic Medicare Secondary Payer Specifications for Inbound Claims
- FISS UB-04 Data Entry Payer Codes
- Common Claim Status/Locations
- FISS Reason Code Overview
- FISS Reason Code/Claim Driver Overview
- Program Function/Escape Key Crosswalk
- How to Adjust a Claim
- FISS Claim Change/Condition Reason Codes
- How to Cancel a Claim
- How to Correct a Return to Provider Claim
- Online System Menu Quick-Reference
Chapter III: Navigating the Online System
Screen Movements
Purpose
To move within the FISS/DDE Provider Online System, providers will perform several different screen movements.
The following chart outlines the various screen movements providers will perform when working in the FISS/DDE Provider Online System.
| Type of Screen Movement | Description |
|---|---|
| Roll-In/Roll-Out/Sliding | The key to performing this function is the SC field, which is located in the upper left corner of most screens. SC means screen control and allows the user to access another area, i.e., file, within the online system to research data, and then return to the origination point. Example: The provider is working in claims correction (submenu 03) and is trying to correct an error involving a HCPCS code. The provider can roll out of the claim and into the HCPCS file by moving their cursor to the SC field in the upper left corner. By typing in the number of the HCPC file (option 14), the provider will automatically move into the HCPC file. After performing the necessary research, the provider can return to their claim by pressing the <F3>/<PF3> key. |
| Paging | When all of the data for a particular file cannot fit onto one screen, the multiple screens required for that file are referred to as pages. Paging allows the user to move backward or forward, in page increments, among the multiple pages of a screen. Another way to move from page to page within a claim is to type in the page number in the PAGE field located in the upper left side of the screen. Press the <Enter> key and you will automatically move to the desired page. |
| Scrolling | The scrolling function is the mechanism by which a user is able to move up or down within any given page. |
| Help | The help function provides the user with assistance in error resolution by displaying the reason code information on error reasons. There are two ways to access the explanation of a reason code on a claim/file screen:
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Revised 5/16/2017