Thursday, June 17, 2021, 4:28 PM
Site: Healthy Connections Medicaid E-Learning
Course: Learning Resources (Learning Resources)
Glossary: Frequently Asked Questions
WEB TOOL: REMIT & STATUS

Can you send me a copy of the Remittance Advice (RA)?

Copies of Remittance Advice statements can be retrieved online via the Web Tool.

If the remittance advice date is not available, complete a Duplicate Remittance Advice Request Form in the Forms Section of all provider manuals. There is a processing fee of $20 plus 20 cents per page copied. The charges will be deducted from a future Remittance Advice, appearing as a debit adjustment. The duplicate RA policy was enacted in December 2010.

Does Suspended mean processing?

No; Suspended means that the claim is in review. 

Does Web Tool’s Status show whether it is approved to be paid?

Yes

How can I verify that my claims on the Web Tool have been submitted successfully?

If you received a batch number for the submission, then the submission reached MCCS. Go to Reports and click on the type of report that was sent (i.e.: CMS-1500, etc.). If a batch number is shown for the day and number of claims in the batch sent, the submission went through.

How soon does information show up in Web Tool’s Status?

After payments process

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 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

In the Web Tool's status section, do claims purge based on batch ID?

They purge based on the check date.

Is there a way to find a claim in History if you had not submitted it through the Web Tool?

No; you can only view that claim’s status.