DDE Menu Guide

X
 

Main Menu - 01 Inquiries

Submenu Menu Guide
10 Beneficiary/CWF Check beneficiary eligibility
11 DRG (Pricer/Grouper) Verify Diagnosis Related Group (DRG)
12 Claims Check claim status
13 Revenue Codes Verify revenue codes
14 HCPC Codes Verify HCPC codes
15 DX/Proc Codes (ICD-9) Verify diagnosis and procedure codes
1B DX/Proc Codes (ICD-10) Verify diagnosis and procedure codes
16 Adjustment Reason Codes Verify adjustment reason codes
17 Reason Codes Reason code narrative
19 Zip Code File Verification of zip codes
1A OSC Repository Inquiry Occurrence Span Code (OSC) history
56 Claim Count Summary Summary total of claims by TOB in each status location
67 Home Health Payment Totals Not in Use
68 ANSI Reason Codes Verify ANSI reason codes on remittance advice
FI Check History Verify last three checks to provider

 

Main Menu - 02 Claims/Attachments

Submenu Menu Guide
20 Inpatient TOB 11x
22 Outpatient TOBs 12x, 13x, 14x, 22x, 23x, 24x, 71x, 72x, 77x, 74x, 75x and 85x
24 SNF TOBs 18x and 21x
26 Home Health TOBs 32x, 33x, 34x
28 Hospice TOBs 81x and 82x
49 NOE/NOA N/A
87 Roster Bill Entry Enter Roster Billing Claims

 

Main Menu - 02 Claims/Attachments - Attachments

Submenu Menu Guide
41 Home Health N/A
54 DME History N/A
57 ESRD CMS-382 Submission of ESRD Beneficiary Selection Form

 

Main Menu - 03 Claim Corrections

Submenu Menu Guide
21 Inpatient TOB 11x
23 Outpatient TOBs 12x, 13x, 14x, 22x, 23x, 24x, 71x, 72x, 77x, 74x, 75x and 85x
25 SNF TOBs 18x and 21x
27 Home Health TOBS 32x, 33x and 34x
29 Hospice TOBs 81x and 82x

 

Main Menu - 03 Claim Corrections - Claim Adjustments

Submenu Menu Guide
30 Inpatient TOB 11x
31 Outpatient TOB 12x, 13x, 14x, 22x, 23x, 24x, 71x, 72x, 74x, 75x, 77x, and 85x
32 SNF TOBs 18x and 21x
33 Home Health TOBs 32x, 33x, and 34x
35 Hospice TOBs 81x and 82x

 

Main Menu - 03 Claim Corrections - Attachments

Submenu Menu Guide
42 Pacemaker N/A
43 Ambulance N/A
44 Therapy N/A
45 Home Health N/A

 

Main Menu - 03 Claim Corrections - Claims Cancels

Submenu Menu Guide
50 Inpatient TOB 11x
51 Outpatient TOBs 12x, 13x, 14x, 22x, 23x, 24x, 71x, 72x, 74x, 75x, 77x, and 85x
52 SNF TOBs 18x and 21x
53 Home Health TOBs 32x, 33x and 34x
55 Hospice TOBs 81x and 82x

 

Main Menu - 04 Online Reports

Submenu Menu Guide
R1 Summary of Reports View available reports
R2 View a Report View provider specific reports
R3 Credit Balance Report Complete quarterly credit balance reports

 

 

Last Updated Sep 25, 2018