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Medicare Part [Change]
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CMS Link
Providers in AR, CO, LA, MS, NM, OK, TX, Indian Health & Veteran Affairs

Telephone Inquiry Quick Reference

For Jurisdiction H (JH) - Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, Texas, Indian Health Service (IHS) / Tribal / Urban Indian Providers and Veterans Affairs Providers, call our toll-free number: 1-855-252-8782. 

General Information

What information are
you looking for?

The pieces of information
you will need

What to select
at the next Prompt

What to select
at the next Prompt

What to select
at the next Prompt

Automated Information
you will Receive

Status of my claim

Provider NPI
Provider PTAN
Provider TIN
Medicare Beneficiary ID Number
Beneficiary Name
Date of Service

 

Press 1 
Or
Say Claims

Please note: Once you are in the IVR and choose to go back to the main menu, Claims is Option 2.

NA

NA

Claim Level

Status – pending, processed, denied, rejected or suspended
Receipt Date
Type of Bill (TOB)
Total Charges
Status Location
Document Control Number (DCN)

Line Level

Date Claim Finalized
Primary Reason Code
Provider Reimbursement Amount
Beneficiary Deductible Applied
Beneficiary Coinsurance Applied
Non Covered Charge Amount
Check or EFT Number
Development date

Beneficiary Eligibility

Provider NPI
Provider PTAN
Provider TIN
Medicare Beneficiary ID Number
Beneficiary Name
Beneficiary Date of Birth

 

Press 2
Or
Say Eligibility

Please note: Once you are in the IVR and choose to go back to the main menu, Eligibility is Option 1.

Press 1 
Or
Say Eligibility

NA

Part A and Part B Effective Dates
Date of Death
Last Billed Date
Hospital Full and Coinsurance Days remaining
SNF Full and Coinsurance Days remaining
Lifetime Reserve Days remaining
Lifetime Psych Days remaining
Current year and prior year Part B deductible
PT / OT amounts
Medicare Primary or Secondary, reason, name of insurer and effective dates
Medicare Advantage Plan Information
Home Health Information
Hospice Information

Beneficiary Deductible Amounts

Provider NPI
Provider PTAN
Provider TIN
Medicare Beneficiary ID Number
Beneficiary Name
Beneficiary Date of Birth

Press 2 
Or
Say Eligibility

Please note: Once you are in the IVR and choose to go back to the main menu, Eligibility is Option 1.

Press 2
Or
Say Deductible

NA

Part A and Part B Effective Dates
Part B current and prior year deductible

Beneficiary Preventive Service Dates

Provider NPI
Provider PTAN
Provider TIN
Medicare Beneficiary ID Number
Beneficiary Name
Beneficiary Date of Birth
Preventive Service procedure code

Press 2 
Or
Say Eligibility

Please note: Once you are in the IVR and choose to go back to the main menu, Eligibility is Option 1.

Press 3
Or
Say Preventive Services

NA

The patient’s next eligible technical date.
The patient’s next eligible professional date.

Overlapping Claims Information

Provider NPI
Provider PTAN
Provider TIN
Medicare Beneficiary ID Number
Beneficiary Name
FISS Document Control Number (DCN)

Press 5 
Or
Say Other

Press 3
Or
Say Overlapping Claims

NA

Type of Claim
Provider Name
Claim Date Range
Provider Address

Patient Discharge Status Information

Provider NPI
Provider PTAN
Provider TIN
Medicare Beneficiary ID Number
Beneficiary Name
Beneficiary Date of Birth
Beneficiary Date of Discharge

Press 5 
Or
Say Other

Press 4
Or
Say Patient Status

NA

If the patient has an inpatient claim beginning on the date of discharge you have entered and the type of facility.

Home Health Episode of Care

Nothing additional, this option is part of the Discharge Status Information when selected.

Press 5 
Or
Say Other

Press 4
Or
Say Patient Status

Say
Check Home Health

Search the records to determine if the patient had a home health episode of care that starts within 3 days after the discharge date you entered.

Check Status

Provider NPI
Provider PTAN
Provider TIN
Date of Check

Press 5 
Or
Say Other

Press 5
Or
Say Financial Information

Press 1
Or
Say Checks

Check Issue Date
Check Amount
Check or EFT Number

Remittance Information

Provider NPI
Provider PTAN
Provider TIN
Date of Remittance

Press 5
Or
Say Other

Press 5
Or
Say Financial Information

Press 2
Or
Say Remittance Statements

Remittance Number
Total Check Amount
Payment Date
Payment and Withholdings amount

EDI Related Questions

What information are you looking for?

What to select at the next Prompt 

What to select at the next Prompt 

Resetting EDI reports

Press 3
Or
Say Electronic Billing

Press 1
Or
Say Reports

Assistance with interpreting and reading EDI file content

Press 3
Or
Say Electronic Billing

Press 2
Or
Say File Content

Resetting EDI passwords –
(SmartXfr, Stratus, SFTP password resets)

Press 3
Or
Say Electronic Billing

Press 3
Or
Say Passwords

EDI Connectivity Issues

Press 3
Or
Say Electronic Billing

Press 4
Or
Say Connectivity

EDI Software Questions

Press 3
Or
Say Electronic Billing

Press 5
Or
Say Software

Other EDI Questions

Press 3
Or
Say Electronic Billing

Press 6
Or
Say Other

FISS / HIQA / DDE Password Resets

You will need the following information: 

User full name (first and last) and PTAN, or

User full name (first and last) and PIN, or

User full name (first and last) and RACF ID

Press 3
Or
Say Electronic Billing

Press 3
Or
Say Passwords

Provider Enrollment Related Questions

What information are
you looking for?

The pieces of information
you will need

What to select
at the next Prompt 

What to select
at the next Prompt 

What to select
at the next Prompt 

Automated Information
you will Receive

Status of my 855 or 588 enrollment form

Document Control Number (DCN) associated with the application

Press 4
Or
Say Enrollment

Press 1
Or
Say Forms

SAY “Yes”

Type of application (855 or 588)
Receipt date
Present status of the application
Additional information regarding the status

Completion and interpretation of enrollment forms

 

Press 4
Or
Say Enrollment

Press 1
Or
Say Forms

 

 

Revalidation questions

 

Press 4
Or
Say Enrollment

Press 2
Or
Say Revalidation

 

 

Other Enrollment Questions

 

Press 4
Or
Say Enrollment

Press 3
Or
Say Other

 

 


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Last modified:  11/14/2017