To obtain information on the status of your claims, please log on to the online claims look up website or call our Provider Customer Service Line at 800-261-3371, which is available Monday through Friday 8:30 a.m. – 5 p.m.
A new feature for the online claims look up is that each office will initially register for a master account and then register all other users in their office as subaccounts. Subaccounts will allow multiple users to share the same web portal access without sharing the same user name and password. The employee who is registered as the master account will be responsible for activating and deactivating employee logins. If your office doesn't already have an account, you may also register to obtain online claims status.
Find out the guidelines for timely claims submissions.
Find out which fields are required to be completed in order for the claim to be considered clean.
Are you submitting claims electronically? Learn how to send your MedStar Family Choice claims electronically.
Electronic Funds Transfer (EFT) / Electronic Remittance Advice (ERA)
Contact MedStar Family Choice-DC Provider Relations at [email protected] or 855-798-4244 to receive electronic claims payments faster and request ERAs.
Learn where to send refunds for errors in claims payments.
Learn how to submit a payment dispute.
Prior authorization is required for elective and direct placement into observation (i.e. from home, physician office, etc.)
Denial Codes and Reasons
The providers’ Remittance Advice, denied claim(s), or line item will have an detailed explanation of denial code(s). If you receive an electronic statement (837), look on the online claim portal for more claims information.