Learning Resources
Frequently Asked Questions
All categories |
WEB TOOL: LISTS FEATURE |
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Does the Web Tool’s Lists feature allow you to save a member’s prior authorization in a field?No, prior authorization may not be necessary for all services. There is a field for prior authorization. | |
WEB TOOL: REMIT & STATUS |
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Can batches be deleted after they are sent?No. Batches cannot be deleted at this time. | |
Can I check claim status on the Web Tool?Yes. Key in the NPI or provider ID number and the member ID number and press submit. | |
Can you send me a copy of the Remittance Advice (RA)?Copies of Remittance Advice statements can be retrieved online via the Web Tool. If the remittance advice date is not available, complete a Duplicate Remittance Advice Request Form in the Forms Section of all provider manuals. There is a processing fee of $20 plus 20 cents per page copied. The charges will be deducted from a future Remittance Advice, appearing as a debit adjustment. The duplicate RA policy was enacted in December 2010. | |
Does Suspended mean processing?No; Suspended means that the claim is in review. | |
Does Web Tool’s Status show whether it is approved to be paid?Yes | |
How can I verify that my claims on the Web Tool have been submitted successfully? | |
How soon does information show up in Web Tool’s Status?After payments process | |
If I submit a claim through a vendor, will I be able to view it under Web Tool’s History?No | |