Are program representatives organized by demographics?
Are Web Tool lists separated by login?
No, your lists are sharable.
Can a billing provider be an ordering or referring provider as well?
Yes, as long as the provider is not designated as an ordering/referring provider exclusively. Future edits will prevent claims payment if an ordering/referring-only provider submits their NPI as a billing provider.
Can a customer service advocate tell me if another provider has started and saved a provider revalidation application?
No. The only information that the provider service center has is if a provider revalidation application has been completed and submitted. The provider service center cannot see if a provider has started the application process but not completed it. If you have the revalidation reference number, NPI and Medicaid ID of the provider in question, you can access the application to see if there is any work in progress. Revalidation FAQs PDF
Can a provider be moved from one risk category to another?
Yes, providers can be reassigned from the “limited” or “moderate” categories due to:
Can batches be deleted after they are sent?
No. Batches cannot be deleted at this time.
Can claims be lost via the Web Tool?
Can I add a beneficiary to the TAD if documentation is not approved?
Can I check claim status on the Web Tool?
Yes. Key in the NPI or provider ID number and the recipient ID number and press submit.
Can I check on the status of my provider revalidation application?
Yes. You can check on the status of your provider revalidation application by calling the Provider Service Center at (888) 289-0709, option 4. You will need your revalidation reference number in order to check on the status of your provider revalidation application. Revalidation FAQs PDF