Program Function Keys

Chapter III: Navigating the Online System Program Function Keys Purpose The following chart outlines the screen movement associated with each of the keyboard program function <F/PF> keys. Note: From a functional standpoint, [...]

Appeals Calculator Levels of Appeal Table

Five Levels of Appeals: Overview Levels Level One Level Two Level Three Level Four Level Five Type of Appeal Redetermination Reconsideration (QIC) Administrative Law Judge (ALJ) Medicare Appeals [...]

About the 201 Pend Report

Chapter VII: Online Reports View Submenu (04) About the 201 Pend Report Purpose The 201 Pend Report is designed to assist providers in accessing information regarding the status of their submitted claims. This report is available to view [...]

About the 702 ACS Appeals Received Report

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 [...]

Request a Redetermination

Request a Redetermination The first level of appeal is the redetermination and is carried out by the MAC. Time limit to initiate = 120 days from date of receipt of the initial determination notice Time limit to complete the [...]

About NGSConnex

This user guide is specific to your line of business and state. To ensure you are viewing the correct user guide, check your information in the top right corner. If your line of business and state is not correct, please select your applicable [...]

Email Verification

Email Verification The Email Verification screen will display the first time you log in to NGSConnex. All NGSConnex users are required to complete a one-time verification to validate the email associated with their NGSConnex user profile. The [...]

Printing in NGSConnex

Printing in NGSConnex You have the ability to print in several areas of NGSConnex. The printable information will display in a separate window. Select the Printable View icon or link. Right-click your mouse to view and print or save [...]

View Remittance

View Remittance If you receive SPR you will not be able to view remittance statements in NGSConnex. If you are signed up to receive an 835 ERA or have elected to view remittance statements through NGSConnex, you may view and print remittance [...]

Annual Security Training

Annual Security Training Every 365 days, NGSConnex LSOs and users are required to review the annual Security Awareness Training, including the rules of behavior and acknowledge access still is required, NGSConnex will display the Security [...]

Forgot User ID or Password

Account Suspension

Ophthalmology/ Optometry

Laboratory/ Pathology

About the 050 Claims Returned to Provider

Chapter VII: Online Reports View Submenu (04) About the 050 Claims Returned to Provider Description This is a listing by provider of claims in RTP status. The claims on the report are in status/location TB9997. The daily report will be [...]

Key Features

Key Features PC-ACE is a comprehensive claims management system. Some of the more prominent features include: Combined Medicare Part A, Institutional All-Payer and Professional claims system Electronic submission of claims in ANSI-837 [...]

Minimum System Requirements and Support

Minimum System Requirements and Support Minimum System Requirements SVGA monitor resolution (800 x 600) Windows 10, Windows 8.1, Windows 7 or Vista operating system Adobe Acrobat Reader Version 4.0 or later (for overlaid claim [...]

Minimum System Requirements and Support

Minimum System Requirements and Support In order to use this application you must have NET framework (at least 2.0 service pack 2) installed on each PC utilizing this application. Requires WinZip or compatible decompression application to [...]

Key Features

Key Features MREP software offers the following capabilities: MREP provides for the ability to view and print the following as needed: List of all Claims for a Remittance Details for a single Claim Total Amounts for a Remittance Look up [...]