Tuesday, July 16, 2024, 3:33 PM
Site: Healthy Connections Medicaid E-Learning
Course: Learning Resources (Learning Resources)
Glossary: Frequently Asked Questions

How long will a Web Tool claim stay out as a draft?

Three months.

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

After payments process

I cannot enter all of the characters in a procedure code or a diagnosis code. Can you help me?

Remove decimal points from the code. To start afresh, backspace to the beginning of the field or highlight the characters in the code and press delete.

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.