Learning Resources
Frequently Asked Questions
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WEB TOOL |
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Why are Web Tool claims suspending?Contact the PSC, option “2” for claims issues. | |
Will MCO info be available via the Web Tool?A provider can verify Managed Care Organization enrollment on the eligibility section of the Web Tool under the “Beneficiary Special Program Data” section. | |
Will systems recognize a duplicate claim if it is denied?No, because it did not process. | |
Will voids show up on the remit?Yes | |
Will Web Tool list information auto-update for you as changes are made?No, it is not tied to another system. Updates are your responsibility. | |
Would you ever get locked out of the Web Tool if you put your password in wrong?No, there is no limit on password attempts. | |
WEB TOOL: CHECK ELIGIBILITY |
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How can you find out MHN info for a beneficiary?A provider can verify Medical Homes Network enrollment on the eligibility section of the Web Tool under the “Beneficiary Special Program Data” section. | |
If a beneficiary isn’t eligible, will the Web Tool show ineligible?Yes, information is listed in red. | |
If the Web Tool says they have 2 visits but the beneficiary goes somewhere else, how do we know if they have anymore visits?Web Tool is updated nightly; you should always check and if they are out of visits, let them know before providing services. | |
If you are checking a new person’s eligibility, can you add them to your recipient list from that screen?Yes, there is a button to do that. | |