ICD-10 News: Checking Your Medicare FFS Claim Status

News Updates | October 20, 2015
Checking Your Medicare FFS Claim Status With the recent transition to ICD-10, you may wonder how soon you will know whether your Medicare fee-for-service (FFS) claim was paid. Generally speaking, Medicare FFS claims take several days to be processed and must also – by law – wait two weeks before payment is issued. You can check your Medicare FFS claim status by: Interactive Voice Response (IVR): IVR gives providers access to Medicare claims information through a toll-free telephone number. Visit your Medicare Administrative Contractor (MAC) website for information on the Provider Contact Center and IVR user guide. Customer Service Representative (CSR): Visit your MAC website for information on the Provider Contact Center only if you are unable to access claims information via IVR. MAC portal: Visit your MAC website for portal features and access. Direct Data Entry (DDE): Providers that bill institutional claims are also permitted to submit claims electronically via DDE screens. Visit yourMAC website for more information. ASC X12: The ASC X12 Health Care Claim Status Request and Response (276/277) is a pair of electronic transactions you can use to request the status of claims (via the 276) and receive a response (via the 277). Visit yourMAC website for more information. Keep Up to Date on ICD-10 Visit the CMS ICD-10 website and Roadto10.org for the latest news and resources, including the ICD-10 Quick Start Guide. Sign up for CMS ICD-10 Email Updates andfollow us on Twitter.