Thursday, May 2, 2024, 1:39 PM
Site: Healthy Connections Medicaid E-Learning
Course: Learning Resources (Learning Resources)
Glossary: Frequently Asked Questions
In the Web Tool's status section, do claims purge based on batch ID?They purge based on the check date. |
When a claim is in a denied status, can you do an adjustment?You must wait for the rejection, and then do a correction. An adjustment can only be made to a paid claim. |
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 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. |
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. |