Thursday, May 2, 2024, 12:46 AM
Site: Healthy Connections Medicaid E-Learning
Course: Learning Resources (Learning Resources)
Glossary: Frequently Asked Questions

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 beneficiary’s prior authorization in a field?

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

When I try to change my Web Tool password, it keeps saying I haven’t met the criteria. What should I do?

The system recognizes when your password does not meet the password requirements.  However, if you have reviewed your selected password and it does meet the password requirements, contact the EDI Support Center at 1-888-289-0709, and choose Option “1”. 

Can Web Tool Lists be sorted by provider?

Not at this time. The Lists can be sorted by who created them. 

Why are Web Tool claims suspending?

Contact the PSC, option “2” for claims issues. 

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

After payments process

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

Yes

Does Suspended mean processing?

No; Suspended means that the claim is in review. 

Can you correct a Web Tool claim online?

Yes; this can be done by submitting a new claim. 

Will systems recognize a duplicate claim if it is denied?

No, because it did not process.