Online Claim Status Inquiry & Beneficiary Eligibility
Claim Status Inquiry (CSI) Overview
- What does Claim Status Inquiry mean to the supplier community?
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Claim Status Inquiry (CSI) is a dynamic tool that allows the supplier community to electronically check the status of production claims after they have passed the front-end edits. Beneficiary Eligibility (BE) allows you to electronically obtain eligibility information on Medicare beneficiaries prior to claim submission.
- How will this tool help suppliers?
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Through CSI you can identify where a claim is in the processing cycle — paid, denied, or pending. Through BE you can benefit from establishing eligibility prior to claim submission.
- Why should suppliers, large and small, sign up for this service?
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CSI/BE system allows you and your approved staff access to eligibility and claim status information at your fingertips and on your own schedule. No more waiting for office hours, no more hold time, no more keying long strings of information on a telephone. CSI/BE allows easy access to the information you need to manage your business, without a lengthy and manual telephone call.
- How do I sign up?
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A gateway connection with a Network Service Vendor must first be established prior to your CSI/BE setup with CGS. The service provider of your choice will provide downloading instructions, a login ID, and a password to access the gateway via a dial-up phone number (modem) or an IP address to use via FTP (file transfer protocol). See the Network Service Providers listed below.
CSI/BE Network Service Vendors
IVANS 800.548.2690 Visionshare 612.460.4327 CSI/BE User ID Access Request Form
Once you have successfully signed up with one of the Network Service Vendors, please complete the CSI/BE User ID Access Request Form to receive a user ID and password. This form can be faxed to 615.782.4626 or mailed to CGS, ATTN: VPIQ, PO Box 20010, Nashville, TN 37202. It is important to note that you will need two user IDs and passwords to access the CSI/BE system — one from the Network Service Vendor and one from CGS.
For more details regarding Claim Status and Beneficiary Eligibility, please see the Online Claim Status & Eligibility User Manual.
TopDDE CSI/BE User Guide
- DDE CSI/BE User
Guide
(483K)
Contact Information
If you experience any security access issues or need to have your password reset, please email the CGS Security Administration Team at MedicareOPID@cgsadmin.com.
If you have any questions on how to use CSI/BE, or if you would like to check the status of your enrollment, please contact our customer service at 1-866-270-4909, Monday through Friday from 7:00am to 5:00pm Central Time. You may also submit your questions online through our Online Help Center.
CSI/BE Recertification
If you are a current user of the CSI/BE system, you must recertify your ID on an annual basis. The current deadline to recertify is January 31, 2012. To recertify, complete the CSI/BE Recertification Form. This form can be faxed to 615.782.4626 or mailed to CGS, ATTN: VPIQ, PO Box 20010, Nashville, TN 37202. If you do not complete the recertification by January 31, your user ID will be inactivated and you will be unable to access CSI/BE until a valid recertification is submitted.
