NMP vs. IVR Self Service Elements Comparison - JE Part A

The below details can be accessed via the Noridian Medicare Portal and/or the Interactive Voice Response.

• Claim Status
• Eligibility
• Financial

The CMS Internet Only Manual (IOM), Publication 100-09, Chapter 6, Section 50.1 mandates that all providers first access inquiries through self-service technology, "…Providers shall be required to use the IVR system to access claim status and beneficiary eligibility information. CSRs shall refer providers back to the IVR system if they have questions about claims status or eligibility that can be handled by the IVR system…. Each MAC has the discretion to also require that providers use the Internet-based provider portal for claim status and eligibility inquiries if the portal has these functionalities."