Endeavor Eligibility, Claim Status and Remittance Advice Information for JF States

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Maryann White
10 years ago
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1 Endeavor Eligibility, Claim Status and Remittance Advice Information for JF States Endeavor is a secure provider internet website that allows providers to check claim status, verify eligibility, and review a single claim remittance advice. This program will be available to providers in Alaska, Idaho, Oregon and Washington on the following dates: Provider State Eligible Date to Register Web-based Workshops Alaska March 5, 2012 Idaho March 26, 2012 Oregon April 16, 2012 Washington May 7, 2012 March 6 th 1 pm March 14 th 3 pm March 27 th 1 pm April 4 th 1 pm April 17 th 1 pm April 25 th 11 am May 8 th 1 pm May 16 th 11 am Please refer to our website at under the appropriate state to obtain all information pertaining to the Endeavor product listed below: Endeavor Self-Paced Tutorial Endeavor Registration Endeavor login Endeavor User Manual Endeavor Presentation CMS EDI Enrollment Form FAQs Endeavor Tips Quick Facts

This program will be available to providers in Alaska, Idaho, Oregon and Washington on the following dates: Provider State Eligible Date to Register Web-based Workshops Alaska March 5, 2012 Idaho

2 Endeavor Contact Changes It is important to review the above information prior to requesting access to Endeavor. There are helpful hints, FAQ s and instructional manuals (User Manual) that will guide you through the Endeavor process. We are currently developing an enhanced registration process for the larger facilities to register multiple NPI s together instead of separately. More information will be shared on this process as we get closer to the rollout for each state. Endeavor can be used 24 hours a day, seven days a week to perform eligibility inquiries. However, claim status and single claim remittance advice searches may only be performed during the following hours. Eligibility Inquiries Part A Part B 24 hours a day, seven days a week Claim Status and Single Claim Remittance Advice Searches Part A Part B Monday - Friday: 6 a.m. 8 p.m. CT and Saturday: 7 a.m. 3 p.m. CT Check NPPES before Registering Additional NPI Before registering for Endeavor, ensure the provider NPI s are established in NPPES ( To establish the NPI s correctly, the Other Provider Identifier fields within NPPES are as follows: Issuer: Select Medicare PIN. Number: Enter the Medicare PTAN, including the state code prefix for Medicare Part B. State: Enter the appropriate state code. Issues Logging Into Endeavor

We are currently developing an enhanced registration process for the larger facilities to register multiple NPI s together instead of separately.

3 If you receive an error message while accessing Endeavor during the posted business hours or when trying to perform an eligibility inquiry at any time, there are two ways to report the issue: 1. After the registration and requested access to Endeavor has been approved, it may take up to 30 days to be able to access all of the requested NPI s due to provider load information 2. For each specific error message received, call the appropriate NAS contact found in the table below: Error Message Contact Phone Number The system could not respond to the request in a timely manner. The Eligibility System could not respond to the request in a timely manner. Resubmit the inquiry at a later time. An unexpected error has occurred. The system could not process the request. The Eligibility system could not perform the inquiry. The inquiry response could not be processed. The source system could not perform the inquiry because one or more fields User Provisioning Refer to the Endeavor contact link below

For each specific error message received, call the appropriate NAS contact found in the table below: Error Message Contact Phone Number The system could not respond to the request in a timely manner.

4 are invalid. No records match the Medicare Provider Identification Number. No ICN/DCN was found. The ICN/DCN has not been finalized. Resubmit the inquiry at a later time. The ICN/DCN does not match the Provider selected. Verify information is correct and resubmit the inquiry. Interactive Voice Response (IVR) Part A: Part B: No Claims Found. Either the beneficiary details are invalid or the beneficiary has no claims matching the claims data entered. Check the data entered and resubmit the inquiry. No records match the Health Insurance Claim Number (HICN). 1. Beneficiary 2. Social Security Administration (SSA) See beneficiary records for contact information

Interactive Voice Response (IVR) Part A: 866-497-7857 Part B: 877-908-8431 No Claims Found.

5 Any user experiencing difficulty signing into Endeavor is encouraged to contact one of the Endeavor user security staff members. Select the appropriate link below to view their contact information. Part A: Part B:

Select the appropriate link below to view their contact information. Part A: https://www.

A/B MAC Jurisdiction E Implementation Overview

A/B MAC Jurisdiction E Implementation Overview 2013 Agenda Welcome and Introduction JE Implementation Timeline What Remains the Same Electronic Funds Transfer (EFT) Interactive Voice Response (IVR) Functionality