Frequently Asked Questions


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Frequently Asked Questions

 

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WEB TOOL: LISTS FEATURE

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

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?

If you received a batch number for the submission, then the submission reached MCCS. Go to Reports and click on the type of report that was sent (i.e.: CMS-1500, etc.). If a batch number is shown for the day and number of claims in the batch sent, the submission went through.


How soon does information show up in Web Tool’s Status?

After payments process


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.


If I submit a claim through a vendor, will I be able to view it under Web Tool’s History?

No



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