Frequently Asked Questions


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Frequently Asked Questions

 

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WEB TOOL

How far back can you bill?

Within 12 months

Entry link: How far back can you bill?

How far back can you file a void?

15 - 18 months

Entry link: How far back can you file a void?

How long will a Web Tool claim stay out as a draft?

Three months.

Entry link: How long will a Web Tool claim stay out as a draft?

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

After payments process

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

I cannot enter all of the characters in a procedure code or a diagnosis code. Can you help me?

Remove decimal points from the code. To start afresh, backspace to the beginning of the field or highlight the characters in the code and press delete.

Entry link: I cannot enter all of the characters in a procedure code or a diagnosis code. Can you help me?

If a beneficiary isn’t eligible, will the Web Tool show ineligible?

Yes, information is listed in red.

Entry link: If a beneficiary isn’t eligible, will the Web Tool show ineligible?

If I delete a person from the Web Tool list and the person returns, do I have to re-enter all of the information?

Yes. Once an entry is deleted, it is lost. You can choose to make the entry inactive, so you won’t see it.

Entry link: If I delete a person from the Web Tool list and the person returns, do I have to re-enter all of the information?

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.

Entry link: If I have two separate claims for one beneficiary, do I have to enter the claim information twice on Web Tool?

If I submit a claim through a vendor, will I be able to view it under Web Tool’s History?

No

Entry link: If I submit a claim through a vendor, will I be able to view it under Web Tool’s History?

If providers aren’t getting remits, who can they contact?

Provider Service Center/EDI

Entry link: If providers aren’t getting remits, who can they contact?


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