Riverbend

Responding to a CERT Request

Step 1

Each request from CERT will include a Claims Pull List and a Bar-Code sheet. They are necessary for identifying and submitting the record. The request will have detailed instructions for completing the bar-code sheet, mailing the record, and it will list contact information for questions. Send the specified records from the bar coded sheet. Respond accurately and promptly to CERT requests.  Ensure all supporting medical records are provided i.e., doctor orders, relevant radiology/laboratory reports.

Step 2

Photocopy each record and make certain that the copies are clear and legible and you have copied both sides of the record if applicable.

Step 3

Place the bar-coded cover sheet on the top of the records to be submitted. Without the bar-code sheet, you will need to supply the CID number on the front of the record so it can be accurately accounted for and taken off the Outstanding Documentation file. If you do not know what the CID number is, or do not have one, please contact us at 1-877-296-6189.

 

See Also:

http://www.certcdc.com/certproviderportal/