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 eight different types of inquiries through the CIR tool:
- Medicare/Other Insurance EOB
- Duplicate Denial
- Additional Information
- Fee Schedule/Pricing Inquiry
- Eligibility
- Federal group
- Prior authorization denial
- I-Bill – (HOST) Prepay High Dollar Revie
For additional details, refer to the CIR User Guide
To gain access to the CIR function, you must be enrolled for eRM. CIR may not be accessed through our Customer Advocates on the phone.