how to check claim status, eligibility, HMO and deductible through Medicare IVR

IVR Quick Reference Guide

MAIN MENU

�� For information about current Medicare changes, issues, and Hot Topics, press 1
�� To receive Claim and Correspondence Status or request a Telephone Reopening, press 2
�� For Eligibility, HMO, Deductible and physical and occupational limitation information, press 3
�� For pending and payment floor claims or to receive month – year dollar amounts currently on file, press 4
�� To receive check information, press 5
�� Remittance Code Definitions and Pricing definitions, press 6
�� For Enrollment information, press 7

CHECK HISTORY BY CHECK NUMBER

�� From the main menu, press 5, then press 3

CHECK HISTORY BY ISSUE DATE

�� From the main menu, press 5, then press 2


CLAIM STATUS

�� From the main menu, press 2, then press 1

CORRESPONDENCE STATUS

�� From the main menu, press 2, then press 2
�� Receive info on another claim, press 2
�� To receive info on a different control number, press 3
�� To receive info on a different provider number, press 6


ELIGIBILITY, HMO, DEDUCTIBLE AND PHYSICAL AND OCCUPATIONAL LIMITATION INFORMATION

�� From the main menu, press 3
�� For Current Eligibility and Deductible, press 1
�� For Eligibility on Previous Dates of Service press 2
�� For Physical and Occupational Therapy Information press 3
�� For Medicare Advantage Plan (formally HMO) information, press 4

ENROLLMENT STATUS

�� From main menu, press 7

LAST 3 CHECKS

�� From the main menu, press 5, then press 1