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 [...]

Check Provider Enrollment Application Status

This inquiry tool can be used to check on the status of your application. How to Search To perform a search please enter into a field below either a valid Case Number/Web Tracking ID (Option 1) or a valid National Provider [...]

Technical Guides and Information

Technical Guides and Information 5010 Process Flow Chart X12 Website: Technical Reports/Implementation Guides, Newsletters and X12 Transaction Sets

Accessing the Inquiries Submenu

Chapter IV: Inquiries Submenu (01) Accessing the Inquiries Submenu Purpose This section explains how to access the Inquiries submenu from the Main Menu. Task To access the Inquiries submenu from the FISS/DDE Provider Online System Main [...]

MLN Connects® Special Edition for Wednesday, April 14, 2021

MLN Connects® Special Edition for Wednesday, April 14, 2021 J&J COVID-19 Vaccine: Health Alert The CDC issued a Health Alert, about the CDC and FDA’s recommended pause in the use of the J&J COVID-19 vaccine, in part, to ensure that [...]

MLN Connects® Special Edition for Tuesday, April 20, 2021

MLN Connects® Special Edition for Tuesday, April 20, 2021 COVID-19 Update: FDA Revoked the EUA for Bamlanivimab When Administered Alone On April 16, the FDA revoked the Emergency Use Authorization (EUA) for bamlanivimab, when administered [...]

MLN Connects® for Thursday, May 20, 2021

MLN Connects® for Thursday, May 20, 2021 Mental Health: Medicare Covers Preventive Services View this edition as a: Webpage | PDF News Hospice Outcomes & Patient Evaluation: Submit Beta Test Application by June 14 Mental [...]

MLN Connects® for Thursday, June 3, 2021

MLN Connects® for Thursday, June 3, 2021 MACs Resume Medical Review View this edition as a: Webpage | PDF News Medicare Shared Savings Program: Submit Notice of Intent to Apply by June 7 Clinical Diagnostic Laboratories: Key Dates [...]

MLN Connects® Newsletter for Thursday, July 8, 2021

MLN Connects® Newsletter for Thursday, July 8, 2021 COVID-19 Accelerated and Advance Payments: Updated FAQs View this edition as a: Webpage | PDF News COVID-19 Accelerated and Advance Payments: Updated FAQs COVID-19 Snapshot: [...]

MLN Connects® Newsletter for Thursday, July 22, 2021

MLN Connects® Newsletter for Thursday, July 22, 2021 COVID-19: EUA for Tocilizumab Monoclonal Antibody Product View this edition as a: Webpage | PDF News COVID-19: EUA for Tocilizumab Monoclonal Antibody Product Medicare Ground [...]

Evaluation and Management

Reopening versus Redetermination

MLN Connects® for Thursday, January 14, 2021

MLN Connects® for Thursday, January 14, 2021 Ensuring our Nation’s Seniors Have Access to Latest Advancements View this edition as a: Webpage | PDF News Ensuring our Nation’s Seniors Have Access to Latest Advancements Opioid [...]

MLN Connects® for Thursday, March 18, 2021

MLN Connects® for Thursday, March 18, 2021 Open Payments & You – Register for March 25 Call View this edition as a: Webpage | PDF News Clinical Laboratory Data Reporting Delayed Until 2022: Reminder Comprehensive Eye [...]

MLN Connects® Newsletter for Thursday, August 12, 2021

MLN Connects® Newsletter for Thursday, August 12, 2021 COVID-19: Vaccinate Your Patients View this edition as a: Webpage | PDF News COVID-19: Vaccinate Your Patients CMS Resumes Targeted Probe & Educate Program Compliance [...]

NGSConnex: Initiate and View Confirmation of Part A Quarterly Credit Balance Reports

NGSConnex: Initiate and View Confirmation of Part A Quarterly Credit Balance Reports Did you know as a Part A, HH+H and FQHC provider, you are able to use our secure self-service portal, NGSConnex, to submit your quarterly credit balance [...]