Learning Resources
Frequently Asked Questions
| All categories |
WEB TOOL: SUBMIT A CLAIM |
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Can you correct a Web Tool claim online?Yes; this can be done by submitting a new claim. | |
Can you file Medicaid as secondary on Web Tool?Yes, providers must file to all other payers and then input that information (received money) on the claim form on the Web Tool. There is a place to identify the hierarchy. | |
Can you resubmit a denied claim once correct on Web Tool?Yes. Copy the claim, correct it, and submit it. | |
Can you resubmit the same claim via the Web Tool?Yes, if you submit a new claim, you will get a new CCN. | |
Can you use the Web Tool for adjustments, if you filed through a clearinghouse?Yes, you may submit an adjustment through the Web Tool, even if the original claim was filed using a clearinghouse – as long as it is within 15-18 months. However, UB-04 (Institutional) billers must file adjustments in the same medium as the original claim. | |
Do you have to put in diagnosis codes?If the service you are providing requires the use of a diagnosis code, then you must enter the diagnosis code with your claim information. | |
Do you have to put the last 4 digits of the zip code for Claims Entry?Yes; you can find zip codes on the US Postal Services website: www.usps.com. Click on Look Up a Zip Code™ | |
Do you have to submit claims through Web Tool?No, you may use other options like hard copy or vendor/clearing house. | |
How do I file a replacement claim for a paid claim that is partly incorrect?Go to the Web Tool submission page. Log in; go to claims entry/history; click on the correct batch number; click on the correct claim number; copy; click the claim type on the left; click on batch, claim; edit; scroll down to claim submission reason code; select replacement. To complete this task, you must have the original Claim Control Number (CCN). | |
How do I know the charge?You can find the charge for the service in your provider manual. | |