Appeals Calculator

CERT Text

CERT Denial FinderThis tool allows you to quickly identify the outcome of a CERT review. If you disagree with the CERT denial you may exercise your appeal rights by beginning with the first level of the appeal process, which is a [...]

CERT Denial Reason Finder

ClaimTimelyFilingCalc-head

Claim Timely Filing CalculatorTo determine the timely filing limit for your service, please enter the date of service in MM/DD/YY or MM/DD/YYYY format and select Calculate. Select the Reset button to clear all data and submit a new query.

Claim Timely Filing Calculator

5010 top page for Part A

EDI Front End Rejection Code Lookup ToolTo view easy-to-understand descriptions associated with the reject code(s) returned on the Status Information segment (STC) of the version 5010 277CA – Claim Acknowledgement, enter the following code [...]

5010 top page for HHH

EDI Front End Rejection Code Lookup ToolTo view easy-to-understand descriptions associated with the reject code(s) returned on the Status Information segment (STC) of the version 5010 277CA – Claim Acknowledgement, enter the following code [...]

5010 top page for FQHC

EDI Front End Rejection Code Lookup ToolTo view easy-to-understand descriptions associated with the reject code(s) returned on the Status Information segment (STC) of the version 5010 277CA – Claim Acknowledgement, enter the following code [...]

EDI Front End Rejection Code Lookup Tool

MedPardTitle

Medicare Participating Physicians DirectoryThe Medicare Participating Physicians Directory (MEDPARD) contains names, addresses, phone numbers, and specialties of all participating providers within the Medicare Part B Program who have agreed to [...]