This function allows users to view payable Certificates of Medical Necessity (CMNs) for specific beneficiaries, for specific Healthcare Common Procedure Coding System (HCPCS) codes. This will provide the following information when a same or similar HCPCS code is found in the common working file or the DME Jurisdiction’s local records:
This option will search the local processing system and provide status on these types of items:
Claims History provides information about electronic claims that have been paid or denied, claims not paid due to full payment by other insurance or deductible requirements, and pending claims. Claims History includes viewing the statuses of all claims (paper and/or electronic; assigned and/or non-assigned). The last 18 months of claims history is available with the exception of claims transferred from another jurisdiction, which are only available for 45 days. Note: CSI does not display payment amounts for non-assigned claims.Enroll today!