Chapter VII: Online Reports View Submenu (04)
About the 702 ACS Appeals Received Report
Description:
The Automated Correspondence System (ACS) master record inputs into the system so that this daily report can be created to allow providers to view which appeals were received by National Government Services. These entries will be available for 90 days before they are removed from the FISS DDE system.
Report Purpose:
The purpose is to provide a listing of appeals for the providers so they can verify that their redetermination request(s) were received and will also indicate if any appeals need to be resubmitted.
The following two screen prints show how the ACS APPEALS RECEIVED section appears on the FISS DDE online system:
Summary of ACS Appeals Received – Left View
Summary of ACS Appeals Received – Right View
The following chart describes the various fields/report headings contained within the ACS Appeals Received report.
| Field/Report Heading | Description |
|---|---|
| PROVIDER | Provider number obtained from ACS master record. |
| HIC | Healthcare Identification Claim number obtained from the ACS master record |
| DCN | Document control number obtained from the ACS master record |
| TOB | Type of bill obtained from the claim record |
| STMT FROM | Statement from date obtained from the claim record |
| STMT THRU | Statement thru date obtained from the claim record |
| CATEG | Category obtained from ACS master record (Value A = Appeal) |
| TYPE | ACS category type from ACS master record |
| RECEIPT DATE | Date of appeal receipt obtained from ACS master record. |
Revised 6/23/2017