eServices: Part B Claims Features Enhancements

Palmetto GBA is pleased to announce we have implemented several enhancements to our Part B claims features within our eServices portal. 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 B 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 (e.g., psychiatrists)

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

Part B Claim Inquiry Results 

You will now have access to additional claims information on the claims summary results page. This enhancement will allow you to see more claims status information in one place, reducing the amount of clicks needed to view additional claim status items. Enhancements include:

• New fields added to the claim summary results page
  • Paid Amount
  • Check Number
  • Paid Date
• The ability to sort columns on the claim summary results page

• New field added to the claim detail page: Receipt Date

Part B Cash Flow Snapshot: Additional Payment Information Available

You will now be able to see additional payment information when viewing the Cash Flow Snapshot screen. Enhancements include the ability to view payments made during the last 30 days. The list of payments will now include:

• Check Number
• Amount
• Status 
• Issue Date

Note: You will have the option to search for other date ranges by entering the "From" and "To" dates.

Accessing Your Financial Information

• Select the Financial Tools tab. The “Cash Flow Snapshot MCS” link will display. Enter:
  • Contract ID
  • Provider Number/PTAN
  • NPI
• Click Submit to populate information

Claims Tab: Appeals Enhancement

We have made several changes to the appeals (redeterminations) option within the eServices claims feature.

• The option to submit an appeal will not display on the claim inquiry function if a claim has a status of "rejected" (Example 1)
  • This enhancement prevents you from submitting an appeal on a claim that can’t be appealed. The field will remain blank.
• If you navigate from the claim function to the redetermination form, the remittance date will be pre-populated to save you time from entering it (Example 2)

Example 1

Example 2