Answer:  Once you have logged into eServices, locate the eReview tab. If you cannot view this tab, you may not have the necessary permissions. Contact your provider administrator on the account to request access. From the eReview tab, select the eAudit sub-tab. This section currently features CERT contractor claim review and status information that is updated monthly.

Select CERT Claim Review Status from the Audit Type dropdown menu on the eAudit screen, it will automatically populate with a summary table of your CERT audit data by error code category.

  • The Claim Data Table will list the type of error by claim and claims pending review by the CERT Contractor
  • The Claim Data Details Table will allow users to see the claim line details for that audit error code category noted on the Claim Data Table. There is also a definition of the line error code. Each of the items in the Claim Data Details Table can be expanded for extra details.

     

Contact Palmetto GBA JJ Part A Medicare

Provider Contact Center: 877-567-7271

Email JJ Part A

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