Online System Menu Quick-Reference

Main Menu	Inquires Submenu (01)	Claims/Attachments Submenu (02)
01 – Inquires 02 – Claims/Attachments 03 – Claims Correction 04 – Online Reports View	10 – Beneficiary/CWF 11 – DRG (Pricer/Grouper) 12 – Claim Summary 13 – Revenue Codes 14 – HCPC Codes 15 – DX/Proc Codes 16 – Adjustment Reason Codes 17 – Reason Codes 19 – ZIP Code File 1A – OSC Repository Inquiry 56 – Claim Count Summary 67 – Home Health Pymt Totals 68 – ANSI Reason Codes FI – Check History 1B - DX/PROC Codes ICD-10 1C - CMHC Payment Total	Claims Entry: 20 – Inpatient 22 – Outpatient 24 – SNF 26 – Home Health 28 – Hospice 49 – NOE/NOA 87 – Roster Bill Entry Attachment Entry: 41 – Home Health 54 – DME History 57 – ESRD CMS-382 Form

Claims Correction Submenu (03)		Online Reports View Submenu (04)
Claims Correction: 21 – Inpatient 23 – Outpatient 25 – SNF 27 – Home Health Health 29 – Hospice Claim Adjustments: 30 – Inpatient 31 – Outpatient 32 – SNF 33 – Home Health Health 35 – Hospice	Claim Cancels: 50 – Inpatient 51 – Outpatient 52 – SNF 53 – Home 55 – Hospice Attachments: 42 – Pacemaker 43 – Ambulance 44 – Therapy 45 – Home	R1 – Summary of Reports R2 – View a Report R3 – Credit Balance Form 838

Revised 9/13/2018