Appeals Requests Among Latest Updates to Novitasphere Medicare Part B Portal

computers-ipad-papers-articleNovitas Solutions (Novitas) has made recent changes and updates to its Novitasphere Medicare Part B internet portal, including a new Appeal Requests feature.

Physicians and practices may wish to take advantage of the following Novitasphere enhancements: 

  • Appeals Requests – This feature can be used to submit a Redetermination request for finalized claims. You can search for and locate the claim, complete the Appeal Request, upload your documentation, and then submit your request.
  • Appeal Development Letters – Novitasphere users can view these letters and respond to requests for documentation needed to process pending Redeterminations. Users can also access copies of their Medicare Redetermination Letters to learn the outcome of appeal decisions.
  • MBI Lookup Tool – The Centers for Medicare and Medicaid Services is in the process of replacing beneficiaries’ Health Insurance Claim Numbers (HICNs) with MBI numbers. Pennsylvania beneficiaries have already been assigned MBIs. The lookup tool allows you to look up a patient’s MBI number if they have not provided you with their updated card.

Novitas is also encouraging Novitasphere users to take advantage of its Claim Correction feature which can be used to submit clerical error reopenings. Get details with Novitas’ video on the process

Additional Resources

Physicians and practice staff can register for these Novitas webinars and other educational events on topics like Novitasphere and the new Medicare cards. If you have questions on Novitasphere, you can contact a Novitas EDI analyst at (855) 880-8424.

Pennsylvania Medical Society members with questions can also contact our Knowledge Center at 855-PAMED4U (855-726-3348) or KnowledgeCenter@pamedsoc.org.

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