IVR Conversion Tool
PTAN and Medicare Number Conversion
Name Conversion
Interactive Voice Response (IVR)
Access the below IVR related information from this page.
Availability
To provide an efficient and more streamlined service for our providers, CMS and Noridian require Medicare Part B providers to use the IVR to retrieve the specific information included below.
- Part A/B patient eligibility
- Claim status
- Deductible status
- Check status
- Check history
- Remittance Information
These services are only available during the hours the Medicare claims processing system is available.
- General IVR inquiries available 24/7
- Claim-specific inquiries available Monday – Friday 4 a.m. - 7 p.m. PT and Saturday 4 a.m. - 2 p.m. PT
Call-in Tips
- Call from a quiet environment
- Have your information organized before calling (See authentication details below)
- Speak clearly and naturally into telephone
- Bypass upfront messaging by saying "Main Menu" or pressing the # key on telephone keypad
- Selections may be keyed or spoken without waiting for entire prompt to play
- Say "Main Menu" at any time to go back to beginning of call flow
- If IVR is having difficulty with information as spoken, try keying information with telephone keypad
- Enter full Medicare number including alpha character(s)
- When speaking date, use full format, for example, say "July fifth, two thousand ten"
- In order to obtain accurate information, some Medicare numbers require suffix verification each time, such as "B as in Boy," "D as in Dog," or "T as in Tom." To eliminate repetition, include this information when giving Medicare number - "123456789B as in Boy"
If you prefer to avoid the voice-recognition option offered from the IVR, use the IVR Conversion Tool to assist in determining the touch-tone data-entry.
Call Flow
To start the call, begin at the Main Menu, "Thanks for calling Medicare."
"Are you calling for inquiries about Patient Eligibility, Claim Status or Financial Information?"
Yes | No |
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Additional prompts to retrieve the necessary authentication information will follow.
Authentication - Be prepared
To ensure that calls flow as quick and as productive as possible, have the following authentication information available upon calling. Authentication information may vary depending on your inquiry and department you are contacting.
Acronyms indicated in tables below
- NPI – National Provider Identifier
- PTAN – Provider Transaction Access Number
- TIN – Tax Identification Number
- SSN – Social Security Number
- EIN – Employer Identification Number
- UIN – Unique Identification Number (given by User Security)
- ERA – Electronic Remittance Advice
- MREP – Medicare Remit Easy Print
Self Service IVR
Authentication Items |
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Menu Options/ Menu Option Details |
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EDI
Authentication Items |
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Menu Options/ Menu Option Details |
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Enrollment
Authentication Items |
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Menu Options/ Menu Option Details |
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User Security
Authentication Items |
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Menu Options/ Menu Option Details |
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IVR Guide
The below detail how to use the IVR and what information is available through it.
- IVR Guide [PDF]
Resource
Last Updated Oct 19, 2018