Claim Inquiry Resolution

Our Claim Inquiry Resolution tool is available via a tab in our Electronic Refund Management (eRM) system.  By providing a method for online assistance with specific inquiries on finalized claims, the CIR tool can help save your staff time by reducing the need for phone calls and written correspondence.

Currently, we accept five different types of inquiries through the CIR tool:

  • Medicare/Other Insurance EOB
  • Duplicate Denial
  • Additional Information
  • Corrected Claim
  • Fee Schedule/Pricing Inquiry
  • Eligibility
  • Federal group
  • Preauthorization denial

CIR Tip Sheet 

To gain access to the CIR function, you must be enrolled for eRM.