Friday, December 13, 2024, 11:08 PM
Site: Healthy Connections Medicaid E-Learning
Course: Learning Resources (Learning Resources)
Glossary: Frequently Asked Questions

Are Web Tool lists separated by login?

No, your lists are sharable.

What is an MHN referral number?

If your service requires a referral, the MHN gives you an authorization number.

If you have primary diagnosis codes, do you have to add additional codes?

No, you just need the primary code.

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

Three months.

Can you copy a Web Tool batch and then later delete an individual claim?

Yes, you can copy batches and delete selected claims.

Would you ever get locked out of the Web Tool if you put your password in wrong?

No, there is no limit on password attempts. 

If the member 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. 

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.

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.

Does the Web Tool’s Lists feature allow you to save a member’s prior authorization in a field?

No, prior authorization may not be necessary for all services. There is a field for prior authorization.