Frequently Asked Questions


Bookmark and Share

 

Frequently Asked Questions

 

Category Search>>

All categories

Page: (Previous)   1  ...  18  19  20  21  22  23  24  25  26  27  ...  31  (Next)
  ALL

WEB TOOL

Is the Web Tool updated daily?

Yes, the Web Tool is updated every night.

Entry link: Is the Web Tool updated daily?

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.

Entry link: Is there a limit to the number of claims in a Web Tool batch?

Is there a way to find a claim in History if you had not submitted it through the Web Tool?

No; you can only view that claim’s status.

Entry link: Is there a way to find a claim in History if you had not submitted it through the Web Tool?

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.

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

What form needs to be completed for access to the Web Tool?

The trading partner agreement form needs to be completed.

Entry link: What form needs to be completed for access to the Web Tool?

What if a claim is created, but the beneficiary says that he/she no longer has the insurance on file?

If a beneficiary no longer has the insurance policy that is seen on the Web Tool, the provider can refer the beneficiary to their eligibility counselor/worker, or complete the Health Insurance Information Referral Form (HIIRF) to update the beneficiary’s third party payer information. Making a change to a policy that already exists in the Medicaid Management Information System (MMIS) takes five days. The HIIRF Form can be faxed to 803-252-0870.

Entry link: What if a claim is created, but the beneficiary says that he/she no longer has the insurance on file?

What is an MHN referral number?

If your service requires a referral, the MHN gives you an authorization number.

Entry link: What is an MHN referral number?

What is the payment cycle?

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

Entry link: What is the payment cycle?

What is the Web Tool’s Non-Contractual box?

The Non-Contractual box is to be selected/entered when the provider is not contracted with the beneficiary’s third party payer.

Entry link: What is the Web Tool’s Non-Contractual box?

When a claim is in a denied status, can you do an adjustment?

You must wait for the rejection, and then do a correction. An adjustment can only be made to a paid claim.

Entry link: When a claim is in a denied status, can you do an adjustment?


Page: (Previous)   1  ...  18  19  20  21  22  23  24  25  26  27  ...  31  (Next)
  ALL