Portal User Manual – Checking the Status of Appeals Submitted Via the Portal
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USPS Mailing Address
WPS GHA
Medicare Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
Overnight Delivery
WPS GHA
Medicare Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
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USPS Mailing Address
WPS GHA
Medicare Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
Overnight Delivery
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Medicare Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
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USPS Mailing Address
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Portal User Manual – Checking the Status of Appeals Submitted Via the Portal
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Providers can find the status and outcome of appeals (redeterminations) submitted through the portal using the Message Center. The Message Center does not provide information about appeals submitted outside the portal (i.e., by mail or fax).
Accessing the Message Center to View a Portal-Submitted Appeal
There are two methods to access appeal information in the Message Center. You will arrive in the same place using either method.
Using Appeal Search:
Navigate to Appeal Search by clicking the Appeal Search link in the left navigation menu.
On the Appeal Search page, click the Portal Submitted Appeals tab, then click the View Appeals in Message Center button. The portal will automatically select the Appeals category in the Message Center search using this method.
Using the Message Center:
Navigate to the Message Center by clicking on the Message Center link in the left navigation menu. You will need to select the Appeals category in the Message Center search using this method.
Searching for a Portal-Submitted Appeal
Once you are in the Message Center, follow these steps to locate the details about a portal-submitted appeal:
Step 1: By default, the portal will display all messages submitted within the last week at the bottom of the Message Center Actions screen. (If you navigated to the Message Center using Appeal Search, you will only see the portal-submitted appeals submitted within the last week.)
Narrow your search by selecting Appeals in the drop-down box in the Category field (if it was not automatically selected). You can also search by tracking number and/or a submission date range. Click the Search button to search by the criteria you selected.
Step 2: To search for a specific appeal by Medicare number, claim number, etc., or to narrow the search results, click the Filter Results link. (Note that you must perform an initial Category search before you can select the Sub-Category and Status fields.)
Step 3: Once you locate your appeal, click the tracking number to see more details about the appeal.
Information Available for a Portal-Submitted Appeal
After clicking the tracking number, the top section of the page will provide details about your claim and the appeal. Due to the differences between Part A and Part B appeals, the information provided in this section will differ depending on if the appeal is for a Part A or Part B claim. The information available includes the following:
- Tracking number – This number is used to track the case within the portal
- Appeal status – The current status of the appeal
- Claim number – The claim number (ICN/DCN) of the claim you appealed
- CCN (Correspondence Control Number) – The tracking number used to identify the appeal request in the claims processing system (Part B only)
- Decision date – The date we made our decision on the redetermination, if the redetermination is complete
- MAS (Medicare Appeals System) Appeal Number – The number used to identify the appeal within the MAS system (Part A only)
- NPI – The billing provider’s NPI
- Bene name – The name of the patient
- Medicare ID – The patient’s Medicare Beneficiary Identifier (MBI) or Health Insurance Claim Number (HICN)
- Practice name – The name of the billing provider or facility
Part A Appeal Information:
Note: The Part A Redetermination letter retrieval pulls letters back from a CMS third party source. If you see the below error message when attempting to review a letter, it is not an error. The letter that was created has an error in the file and is not viewable in the portal, decision letters are still being mailed to the address we have on file.
MAS-S-ERR-183 – “Your Appeal Number” does not contain a completed decision letter.”
Part B Appeal Information:
The appeals decision (if the appeal is complete) is below the details. It may also include links to other important information related to your appeal, such as information about further appeal rights.
Additional information about the appeal is located below the decision. If you submitted documentation to support your appeal, you can view the file that was submitted by clicking the link in the Attachments section at the bottom.
An important note about Part B dismissal letters: To determine the reason a Part B redetermination was dismissed, look for the statement, “Your request has been dismissed because,” which will be followed by the reason your appeal was dismissed.
global-tags: J8A,J5A,J8B,J5B
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