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Posting Date: 07/20/2023
Attestation
Attestation At the start of an EDI Guided Enrollment submission, you will need to read and accept the attestation in order to proceed.
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Posting Date: 07/20/2023
I Am a Billing Service and “I Want to Use a Provider's PIN From their Letter of Authorization (LOA)”
I Am a Billing Service and “I Want to Use a Provider's PIN From their Letter of Authorization (LOA)” This selection will prompt you to complete the Logon Request with PIN Form. This objective is for a third party who wishes to request, [...]
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Posting Date: 07/27/2023
MLN Connects® Newsletter: July 27, 2023
MLN Connects® Newsletter: July 27, 2023 News CMS Continues Work on Behavioral Health Discarded Drugs and Biologicals: Updated FAQs on JW & JZ Modifiers Expanded Home Health Value-Based Purchasing Model: July 2023 Interim Performance [...]
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Posting Date: 04/04/2018
Reason Codes
Chapter I: Online System Terminology Reason Codes Purpose Reason codes direct the outcome of an edit or process within FISS—they are the traffic cops of the system. Each reason code, when assigned, sends the claim to a specific [...]
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Posting Date: 04/25/2016
View a Report (R2)
Chapter VII: Online Reports View Submenu (04) View a Report (R2) Purpose This option allows the provider to go directly to MAP1661 for report viewing. Task To access the View a Report option from the Fiscal Intermediary (FISS)/Direct [...]
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Posting Date: 04/18/2016
FISS UB-04 Data Entry Payer Codes
Resources FISS UB-04 Data Entry Payer Codes The following payer codes may be reported in the CD field on CLAIM PAGE 03 of the online UB-04 claim entry record. Payer Code Description 1 Medicaid 2 Blue [...]
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Posting Date: 09/10/2018
How to Adjust a Claim
Resources How to Adjust a Claim To adjust a claim using the FISS/DDE Provider Online System, follow these steps: Step Action 1 Select the CLAIMS CORRECTION (03) submenu from the MAIN MENU 2 Key the [...]
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Posting Date: 09/10/2018
FISS Claim Change/Condition Reason Codes
Resources FISS Claim Change/Condition Reason Codes The following adjustment/cancel claim change reason codes may be reported in the COND CODE field on CLAIM PAGE 01 of the adjustment/cancel claim record. For Adjustment Claims Only (TOB [...]
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