Does the 276 Inquiry transaction only involve uploading claims files via the Medi-Cal Web site, or does it also involve downloading claims status for claims submitted via CMC?
Claim status inquiries can be done for paper claims as well as Computer Media Claims (CMC). You must upload 276 claim status inquiry files to be able to download 277 claim status response files. Unsolicited 277 claim status response files are not automatically generated for CMC claims. Medi-Cal also provides a real-time claim status inquiry method through the Provider Telecommunications Network (PTN) and the Medi-Cal Web Site. The PTN is a voice response system and requires a provider ID and Provider Identification Number (PIN) to access (refer to the Provider Telecommunications Network (PTN) section of the provider manual for more information about PTN). In addition, submitters can perform real-time DDE claim status inquiry transactions through the Transaction Services area of the Medi-Cal Web site. To access this inquiry transaction, log on to Transaction Services (a user ID and password are required) and click the “Automated Provider Services” link.
Related Questions
- Will there be a new Medical Supply Inquiry field on the Transaction Services page of the Medi-Cal Web site where providers could enter a HCPCS Level II code and/or the UPN to get specific information about medical supplies?
- Does the 276 Inquiry transaction only involve uploading claims files via the Medi-Cal Web site, or does it also involve downloading claims status for claims submitted via CMC?
- I am having trouble downloading files from the QI Web site, where can I get help?
