The IVR can be accessed at (866) 238-9654. To view or download a copy of the South Carolina Part B IVR Guide, click on the link at the end of this article.
The Interactive Voice Response (IVR) enables providers to receive routine Medicare Part B information without having to wait for a customer service representative. The IVR can be reached at (866) 238-9654. The customer service representatives are available from 8:30 a.m. to 4:30 p.m., at (888) 828-2092, Monday through Friday to assist you with more complex questions or concerns. With a touch-tone phone, you can obtain the latest information on your claims and other Medicare issues, through this system. By using the IVR, representatives will be freed to spend time with providers on more difficult claims issues.
Note: Periodically we will be making enhancements to the IVR based on feedback from the provider community. Please listen closely to the options as they are presented.
What Information Can Be Obtained From The IVR?
You may use the IVR to obtain information concerning assigned and non-assigned claims. However, there is more information available on assigned claims. This is another advantage to becoming a participating physician with Medicare. The IVR is available 24 hours a day to obtain general information. Beneficiary eligibility and claim status information is available between the hours of 6 a.m. and 9 p.m.
The following information is currently available for the provider community as self-service options:
- Information on the Medicare Replacement Drug demonstration
- Appeal Rights
- New legislation
- Information on frequently asked questions
- Beneficiary eligibility
- Current Medicare Part B effective and termination dates
- Medicare Advantage Enrollment Status
- Current and prior year?s deductible amounts (Satisfied or Unsatisfied)
- Information on frequently denied claims
- The ability to request a seminar/meeting with a Provider Education staff member
- Claim status information
Assigned Claims
- Amount paid.
- Amount applied to the deductible.
- Adjustments made as the result of a Redetermination or Reconsideration.
- Claim denial information.
- Claim pending information.
- Previously issued Provider Remittance Notice(s).
Non-assigned Claims.
- Verification of claim receipt.
- Status of processing. The IVR will only state whether or not the claim was processed. Contact the patient to determine if the claim was paid or denied.
What Information Do I Need To Use The IVR?
You have a full 15 minutes for each IVR call. Please have the information detailed below ready before you begin the call:
1. Your Medicare Provider Transaction Access Number (PTAN)
TIPS for entering your PTAN:
- Enter either your 4-digit Medicare group number or the last 7 digits of your 10-digit Medicare provider number. All characters entered into this field should be numeric. There are no alpha characters in a valid group number or in the last 7 digits of your Medicare provider number.
2. Your National Provider Identifier (NPI)
3. Your Patient?s Identification Information
- The beneficiary's last name with no special characters. The name must be entered exactly as it appears on the beneficiary's Medicare card. Include suffixes (i.e., Jr, Sr) and abbreviations of titles (i.e., Fr for Father, Sr for Sister).
- The beneficiary's first name
- The beneficiary's current or previously assigned Medicare Health Insurance Claim (HIC) number, which includes both alpha and numeric characters. This number is sometimes the same as the patient's Social Security Number with a letter at the end.
- The beneficiary's date of birth, using the following format - MM/DD/YYYY
4. The Date of Service'.
Please use the following format - MM/DD/YY