Offsets <4>

Upon selecting Offsets, the provider will need to authenticate the following information:

• NPI
• PTAN
• Last five digits of the TIN

Next, a submenu will offer to search by Claim Details (touch‐tone 1) or Beneficiary Information (touch‐tone 2).

If Claim Details is selected, the IVR will ask for the FCN and the beneficiary’s HICN or MBI. Once these details are given, the IVR will provide the following information:

• The original claim information:
  • The number of line items on the claim
  • Claim Number
  • Status of each line item
  • Date(s) of Service
  • Billed Amount
  • Allowed Amount
  • Paid Amount
  • Procedure code for line item
  • Diagnosis code(s)
  • Adjusted claim information, when applicable
•  
• The adjusted claim information:
  • The number of line items on the claim
  • Claim Number
  • Status of each line item
  • Date(s) of Service
  • Billed Amount
  • Allowed Amount
  • Paid Amount
  • Procedure code for line item
  • Diagnosis code(s)
  • Adjusted claim information, when applicable

If Beneficiary Information is selected, the IVR will ask for FCN. Once this information is given, the IVR will provide the following information:

• Beneficiary first and last name
• Patient account number – If no patient account number on the claim, there will be dead air
• Date(s) of service