ICD-10 News: 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.
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 your MAC website for more information.
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 your MAC website for more information.