View APC Inquiry

To view an APC inquiry:

  1. From the Reference tab menu, click the APC Inquiry hyperlink.

The WCMBP system displays the APC Inquiry page.

  1. In the From Date and To Date fields, specify the range of header dates for the inquiry.

  2. In the Type of Bill text box, enter the number for the APC’s bill type.

  3. In the Zip Code text box, enter the zip code of the APC’s locality.

  4. In the Medical Provider Number text box, enter the provider number for the APC.

  5. In the Primary Diagnosis Code text box, enter the diagnosis code for the APC.

  6. In the Revenue code text box, enter the revenue code applied for the APC.

  7. In the Service From Date and Service To Date fields, specify the range of service dates for the APC.

  8. In the Service Units text box, enter the number of service units provided.

  9. In the Line Charges text box, enter the charges incurred.

  10. Select Submit.

The system refreshes the APC Inquiry page, which now shows information that includes APC status indicator, APC number, APC return code (under the Edits Description section), and Header Details and Service Line Detail updates.

Note: Based on the inputs provided, the WCMBP system shows the information received from grouper for each line. If the line data is not updated correctly, an error message is displayed in the Edits Description section of the APC Inquiry page.

Related Topics

APC Inquiry

Update an APC Service Line

Add an APC Service Line