Claims Correction Submenu

Chapter II: Online Menu Functions Overview Claims Correction Submenu Purpose The CLAIMS CORRECTION submenu is where providers correct RTP claims, adjust processed or rejected claims and cancel processed claims. This submenu also contains [...]

Accessing the Common Working File

Introduction Accessing the Common Working File Beneficiary eligibility records, which are maintained for CMS by the SSA, are stored electronically in the CWF system. You can access CWF records to view beneficiary eligibility information in [...]

Electronic Submissions

Introduction Electronic Submissions The FISS/DDE system is available through either a leased line connection or dial-up connection using a personal computer and modem. You should have knowledge of your setup since there are a [...]

Electronic Data Interchange (EDI)

Appeals

LCDs & NCDs

EDI E-mail Inquiry Form Bottom

Once you submit your completed form, you should receive an automated acknowledgement stating your email inquiry has been received by EDI. Response time for email inquiries is within ten business days of receipt. Please make sure you [...]

Part B Remittance Statements Missing Financial Control Numbers

Due to an issue associated with the 10/1/2021 release, Part B remittances classified as withholding (WO) are being generated without FCN information. Without the necessary control number, providers cannot cross-reference the reason for [...]