Monday, April 29, 2024, 10:09 AM
Site: Healthy Connections Medicaid E-Learning
Course: Learning Resources (Learning Resources)
Glossary: Frequently Asked Questions
WEB TOOL
If you have primary diagnosis codes, do you have to add additional codes?No, you just need the primary code. |
If you make an error and you submit the claim on the Web Tool, is there a way to cancel or make a correction that same day?Once a claim is submitted via the Web Tool, there is no way to cancel or make a correction to the submitted claim that same day. Once the claim has gone through the payment cycle, you will be able to see if the claim has been rejected, paid, or suspended. You will then be able to make corrections to the claim before resubmitting as a new claim. |
In the Web Tool's status section, do claims purge based on batch ID?They purge based on the check date. |
Is the EFT form used for MCOs as well?No, they have their own forms and billing systems. |
Is the Web Tool claim ID number automatically entered?Yes. |
Is the Web Tool updated daily?Yes, the Web Tool is updated every night. |
Is there a limit to the number of claims in a Web Tool batch?There is not a limit to the number of claims in a batch. |
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. |
Under the Web Tool's status option, can I check the status of a claim I submit hard copy?Yes, it doesn’t matter the submission method. |
What form needs to be completed for access to the Web Tool?The trading partner agreement form needs to be completed. |