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  • Posting Date: 06/28/2021
    EDI Enrollment

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    Acronyms Intro Text

    Acronyms, initialisms, and alphabetisms are abbreviations that are formed using the initial components in a phrase or name. These components may be individual letters (as in CMS) or parts of words. The following acronyms are used frequently on [...]

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  • Posting Date: 05/05/2021
    Acronym Search

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    ADR Calculator Bottom

    Claims status information can be obtained using our claims/eligibility tools: Connex or the interactive voice response (IVR) system. Please learn more about these tools by visiting the Resources section of our Web site.

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    ADR Calculator Top

    Additional Development/Documentation Request Timeline CalculatorUse this calculator to determine the target date that the requested medical records must be received by National Government Services. The ADR letter you received will indicate [...]

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  • Posting Date: 06/30/2021
    ADR Response Timeline

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  • Posting Date: 03/29/2016
    Appeals Calculator Header

    Appeals CalculatorTo determine the timely filing date for your appeals request:Step OnePlease select an option from the drop-down based upon which level of appeal you are in (see table at bottom of page).Step TwoEnter the date on which you [...]

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  • Posting Date: 06/30/2021
    Appeals Calculator

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    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 [...]

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  • Posting Date: 07/12/2021
    CERT Denial Reason Finder

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    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.

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  • Posting Date: 05/24/2021
    Claim Timely Filing Calculator

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    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 [...]

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  • Posting Date: 12/03/2018
    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 [...]

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  • Posting Date: 12/03/2018
    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 [...]

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  • Posting Date: 06/30/2021
    EDI Front End Rejection Code Lookup Tool

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  • Posting Date: 09/06/2012
    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 [...]

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  • Posting Date: 07/01/2021
    CMS 1500 Claim Form

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  • Posting Date: 07/01/2021
    Fee Schedule Lookup

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  • Posting Date: 07/01/2021
    Medicare Beneficiary Identifier (MBI)

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