CID Status Lookup
The Claim Identifier (CID) Status Lookup allows access to inquire on the outcomes of CERT Claims. A CID may be used to find a specific claim, or a listing of all CERT claims can be found by the provider/supplier details.
Inquiry
- Select Claim Status Inquiry from main menu and then the CERT Inquiry tab.
- Choose TIN, NPI, PTAN and Program under Provider/Supplier Details
- A CID may be entered to find a specific claim, but is not required
Response
A listing of the claims that meet the search criteria is displayed.
The results will show the following:
| Field | Description |
|---|---|
| CID | Unique Claim Identifier Number assigned to each CERT claim |
| Initial Docs Received | Date CERT received first set of documentation |
| ADR Received | DATE CERT received documentation after ADR was sent |
| CERT Review Date | Date CER Contractor reviewed the claim |
| CERT Review Status | Status of claim in the review process |
| Claim in Error | Yes or No - Indicates if the claim has been found to have been initially processed by the MAC |
| Error Code | The category of error on the claim |
| Error Code Description | Description explaining the error category |
Choose "View Details" to view additional claim information.
Additional details of the claim are provided.
- Line - The line number as it was listed and billed on the CMS-1500 claim form
- CPT/HCPCS - The code billed on the claim line of the CMS-1500 claim form
- Reviewer Comments - CERT Contractor's denial comment for the line under review
Last Updated Dec 09 , 2023
