Learning Resources
Frequently Asked Questions
| All categories |
WEB TOOL |
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How can you find out MHN info for a member?A provider can verify Medical Homes Network enrollment on the eligibility section of the Web Tool under the “Beneficiary Special Program Data” section. | |
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. | |
How far back can you bill?Within 12 months | |
How far back can you file a void?15 - 18 months | |
How long will a Web Tool claim stay out as a draft?Three months. | |
How soon does information show up in Web Tool’s Status?After payments process | |
If a member isn’t eligible, will the Web Tool show ineligible?Yes, information is listed in red. | |
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. | |