Checking Claim Status
To check the status of your claim, call the Interactive Voice Response (IVR) at 1-877-220-6289. The IVR will provide the status of the claim (e.g., processed, pending, denied, returned to provider, rejected), when it was received, the type of bill, claim location, and total charges. For additional information on using the IVR, access the IVR User Guide.
Another option for checking the status of your claim is to access the Fiscal Intermediary Standard System (FISS) via Direct Data Entry (DDE):
- From the FISS Main Menu, select 01 “Inquiries”.
- From the Inquiry Menu, select 12 “Claim Summary”.
- From the Claim Summary Inquiry screen, enter your facility’s NPI number in the NPI field, and the beneficiary’s HICN in the HIC field.
- Press Enter
For additional information, refer to the Inquiry Menu (Chapter 3) of the Fiscal Intermediary Standard System Guide and the Checking Claims Status Frequently Asked Questions (FAQs).
Web Based Options - myCGS
myCGS is an intuitive, free, and easy-to-use online web tool that provides you with a safe and secure access to your claim information allowing you to check the status of your claims, beneficiary eligibility, MSP information, and payment information. For additional information about myCGS and how to register, refer to the myCGS User Manual.
Updated: 09.10.12
