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MLN Product (New): Checking Medicare Claim Status

This new Product comprises Subregulatory Guidance for affected providers and its content is based on publicly available content within CMS policy or operation subject matter experts also reviewed/cleared this product. This Product educates providers on how to get claim status information electronically, including:
• What happens after I submit a claim?
• How do I know my accepted claim’s status, and when should I check payment status?
• What’s a clean claim and the waiting period?
• Which NPI number should I use?
This Product will be available to the public and posted on the CMS website at

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: May 17, 2023

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.