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CID (CERT Identification) Online Tool Tutorial

The CERT Identification Online Tool was developed so you can obtain a status of your CERT sampled claim.

This tool provides information for sampled claims where a decision has been made by the CERT contractor.

Examples:

Error,
No error,
Excluded/discarded from sample

If the claim is pending review with the CERT contractor, the file will indicate the current status.

Examples:

Provider response received,
In pre-review process,
Under nurse review

You can find the CID number assigned to the claim under review on the letter from the CERT Documentation Center.

You can find this tool on the CERT Center under "Interactive Tools"


Here is what the CERT CID Tool looks like:

Enter your CID number and click the "search CID" button, the following data will be displayed:

Claim in Error: Identifies whether a CERT error was assessed or not.
Status Date: Displays the last date that CERT updated/reviewed the case.
Error Code: Displays the CERT assigned Error Code. Hover your mouse over the ? to see a detailed description of the code.
Status description: Identifies where the claim is with the CERT Review Contractor. Hover your mouse over the ? to see a detailed explanation of the description.
Appealed: Displays the appeal decision for appealed claims.
Medical records requested: Displays the date the first request letter was sent.
Medical records received: Displays the date CERT received and validated the records.
Additional medical records requested: Displays the date an additional request for records was sent.
Additional medical records received: Displays the date CERT received and validated the additional records.

If you want to check another CID number, delete what's in the field, and enter a new CID number and click the search CID button.

If you have any questions on your reports, please email them to QuestCERT@Novitas-Solutions.com.


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Last modified:  06/02/2017