C-SNAP Eligibility for Medical Claims

WPS has partnered with CMS to bring you this self-service web-site that will allow users to view eligibility and claim status information. On August 4, 2008, C-SNAP became available to all Part A and Part B J5 MAC providers. Legacy Providers are pending Part A access.

C-SNAP provides

National Eligibility Information

  • Medicare Part A and B deductible information
  • Medicare Secondary Payer (MSP) information
  • Medicare Advantage information
  • Hospice and Home Health Care information
  • Preventive Service information
  • Hospital Lifetime Reserve Remaining
  • Hospital Days Remaining
  • Hospital Coinsurance Days Remaining
  • Skilled Nursing Facility (SNF) Days Remaining
  • SNF Coinsurance Days Remaining
  • Part D Enrollment information
  • Part C Enrollment information

Claim Status Details

  • Reason/remark codes
  • Total paid amounts
  • Deductible amounts
  • Check Information
  • Claim numbers
  • Date processed
  • Procedure codes/modifiers billed
  • Total allowed amounts

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