eServices: Part A Claims Features Enhancements

Published 08/13/2024

Palmetto GBA is pleased to announce we have implemented several enhancements to our Part A claims features within our eServices portal as of July 26, 2024. These updates are designed to make searching for claims information easier and to enhance your online experience.

Dates of Service No Longer Required for Part A Claim Search 

You will be able to search for claims using the Medicare ID (MBI) without having to enter any dates of service. The dates of services fields will still appear but are no longer required and will display as an optional function.

If you search with the Medicare ID and leave the dates of service blank, all claims under that ID over the past three years will be returned. This could be particularly helpful if you treat patients for a long period of time.

Note: When searching without a date span, you will need to search to find specific claims. 

Search Screen Changes

  • The "Medicare ID" and "Service Dates" search option now include a new date search option. The "Predefined Dates" option allows providers to select a date range instead of entering dates in the "Custom Dates" option.    
     
  • A new link to the MBI Lookup Tool will be available if the beneficiary’s MBI is not known

Claims search screen


Claim Summary Screen Changes

  • Displayed when the Medicare ID Only or Medicare ID and Service Dates options are used for the claim search
     
  • Two new filter options were added for the results: 
    • Status — only the status that are available in the list of claims will display
    • Select New Dates — this new filter will allow providers to adjust the date range
    • All columns are now sortable
       
  • New information was added for each claim:
    • Beneficiary Information (Name, Date of Birth and Patient Account)
    • Paid Amount
    • Receipt Date
       
  • The More column and the img  button will open options to:
    • View Remittance
    • View Details and Appeals

 View of search results screen
 

 Search results for all statuses


search results showing all statuses
 

Search results showing all statuses

Claim Details Screen Changes

  • Displayed when: 
    • Claim Number is used for the search
    • View Claim Details & Appeals is selected on the Claim Summary screen
  • New links can be used to jump to different sections of the screen
  • New "Claim Line" feature will allow for users to expand or collapse the line to see more information
     

View of Claim Details screen showing new claim line feature


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