Monday, April 29, 2024, 1:51 AM
Site: Healthy Connections Medicaid E-Learning
Course: Learning Resources (Learning Resources)
Glossary: Frequently Asked Questions

What is the payment cycle?

The payment cycle is: Wed-Mon, payments are processed on Tuesday, and payment is received as early as Friday.

Under the Web Tool's status option, can I check the status of a claim I submit hard copy?

Yes, it doesn’t matter the submission method.

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.

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.

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