If a beneficiary isn’t eligible, will the Web Tool show ineligible?Yes, information is listed in red. |
If I delete a person from the Web Tool list and the person returns, do I have to re-enter all of the information?Yes. Once an entry is deleted, it is lost. You can choose to make the entry inactive, so you won’t see it. |
If I have two separate claims for one beneficiary, do I have to enter the claim information twice on Web Tool?Yes, you would have to submit two different claims. You can go to your submitted claim bucket and copy the claim with additional edits and changes and then resubmit it instead of rekeying two claims. |
If I submit a claim through a vendor, will I be able to view it under Web Tool’s History?No |
If providers aren’t getting remits, who can they contact?Provider Service Center/EDI |
If the beneficiary had Champus or Tri-Care and it paid 100%, why would I need to file to Medicaid?You would need to file to Medicaid for reporting purposes and for seeing the claim through from beginning to end. |
If the Web Tool says they have 2 visits but the beneficiary goes somewhere else, how do we know if they have anymore visits?Web Tool is updated nightly; you should always check and if they are out of visits, let them know before providing services. |
If you are checking a new person’s eligibility, can you add them to your recipient list from that screen?Yes, there is a button to do that. |
If you are missing information, will the Web Tool process the claim anyway?Yes and no; there are basic required fields that are denoted by asterisks, however if you forget modifiers, the Web Tool won’t recognize that. |
If you copy an entire Web Tool batch over, can you choose which claims to submit?Yes |