IVR Upgrade Will Provide Additional Claim Details

To improve your experience, the Noridian Contact Center Interactive Voice Response (IVR) will be updated as of January 17th, 2020

Enhanced features will include the below.

Medicare Part A
Additional claim denial information

  • Health Maintenance Organization (HMO) – HMO name, address, and effective date
  • Medicare Secondary Payer (MSP) – MSP name, type, and effective date
  • Skilled Nursing Facility (SNF) – SNF National Provider Identifier (NPI), and start and end dates of stay
  • Hospice – Hospice provider NPI, and start date
  • Home Health – Home Health provider NPI, and start date
  • Deceased – Date of Death

Medicare Part B
Additional claim information

  • Claim receipt date
  • Place of Service
  • Whether claim was submitted as Medicare primary or secondary
  • Date Additional Development System (ADS) letters were sent requesting additional information
  • If claim is being denied as a duplicate claim, Internal Control Number (ICN) of claim it is denying against will be provided
  • Remittance Advice (RA) number will be provided for claims that are applied to deductible

            Last Updated Fri, 10 Jan 2020 09:04:43 +0000