Claim Inquiry Resolution Tool

The Claim Inquiry Resolution (CIR) tool can be accessed via a tab in our Electronic Refund Management (eRM) system. The CIR tool allows you to communicate online with our Customer Advocates in some situations where previously a call or letter was required. This tool can save time by reducing the number of calls you need to make, while also simplifying the process for submitting requested documentation. Using this tool also helps reduce administrative costs by decreasing the amount of correspondence which must be sent through the mail. The types of inquiries that can be accessed using this tool are:

  • Medicare/other insurance EOB
  • Duplicate denial
  • Additional information
  • Fee schedule/pricing inquiry
  • Eligibility
  • Federal group
  • Preauthorization denial

View the CIR Tip Sheet 

To gain access to the CIR function, you must be enrolled for eRM.