Claims Status/Online Claims Look Up

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, available Monday through Friday, 8:30 a.m. – 5 p.m.

Claims and Billing Procedures

Find out the guidelines for timely claims submissions and what is required for the claim to be considered clean.

Electronic Claims Submission

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 Provider Relations at or 800-905-1722, option 5 to receive electronic claims payments and request ERAs.

Claims and Refunds

Learn where to send refunds for errors in claims payments. 

Claims Payment Dispute

Learn how to submit a payment dispute.

Claims Compliance

Understand the laws pertaining to the prevention and detection of fraud, waste, and abuse, in accordance with the requirements of the federal Deficit Reduction Act of 2005.

Observation Authorization

Prior authorization is required for elective and direct placement into observation (e.g., from home, physician office).

ER Auto-Pay List

Click on the link above for the ICD-10-CM version of the Emergency Room Auto-Pay List.

National Drug Code

The National Drug Code is required to be billed on claim forms for drugs administered by physicians, outpatient hospitals, and dialysis centers.

Denial codes and reasons

The providers’ Remittance Advice denied claim(s), or line item will have a detailed explanation of denial code(s). If you receive an electronic statement (837), look on the online claim portal for more claims information.

Information current as of: