Saturday, July 5, 2025, 8:54 PM
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. |
Is the Web Tool claim ID number automatically entered?Yes. |
If you have primary diagnosis codes, do you have to add additional codes?No, you just need the primary code. |
If you copy an entire Web Tool batch over, can you choose which claims to submit?Yes |
If you are missing information, will the Web Tool process the claim anyway?Yes and no; there are basic required fields that are denoted by asterisks, however if you forget modifiers, the Web Tool won’t recognize that. |
How long will a Web Tool claim stay out as a draft?Three months. |
How far back can you file a void?15 - 18 months |
How far back can you bill?Within 12 months |
How do I know the charge?You can find the charge for the service in your provider manual. |
Do you have to submit claims through Web Tool?No, you may use other options like hard copy or vendor/clearing house. |