About Appeals

About Appeals Providers and beneficiaries have the right to appeal claim determinations made by National Government Services. The purpose of the appeals process is to ensure the correct adjudication of claims. Appeals activities conducted by [...]

What Documents are Needed

What Documents are Needed? You are required to submit all necessary medical documentation to support the services billed on your claim as part of your participation agreement; you must submit a complete medical record when requesting an [...]

PCACE Download Email

Thank you for downloading the full installation or upgrade for PC-ACE. Please print this e-mail and keep this for your records. The PC-ACE installation code is: NGSMAC1 Once you have successfully installed or upgraded PC-ACE, the “Sign On” [...]

Tutorial

Centers for Medicare & Medicaid Services

Centers for Medicare & Medicaid Services CMS has ten regional offices to assist with Congressional inquiries. For Congressional inquiries or questions specific for Medicare Part D, try contacting the Medicare Part D Plan first. Another [...]

Credit Balance Status Lookup

Prior Authorization Exemption Process FAQ

Prior Authorization Exemption Process FAQ How many days notice will I receive before I switch from PAR submissions to an exemption cycle? Answer: MACs will provide a 60-day notice prior to any transition period, continuation, or withdrawal [...]

NGSConnex User Guide

Initiate a Claim Status Lookup

Initiate a Claim Status Lookup Click the Claim Status Lookup button from the NGSConnex homepage. In the Select a Provider panel, click the Select button next to the applicable provider account. To search for claims use the filter [...]

Check Status of Prior Authorization Requests