Frequently Asked Questions


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Frequently Asked Questions

 

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WEB TOOL: SUBMIT A CLAIM

How long will a Web Tool claim stay out as a draft?

Three months.


I cannot enter all of the characters in a procedure code or a diagnosis code. Can you help me?

Remove decimal points from the code. To start afresh, backspace to the beginning of the field or highlight the characters in the code and press delete.


If I have two separate claims for one member, do I have to enter the claim information twice on Web Tool?

Yes, you would have to submit two different claims. You can go to your submitted claim bucket and copy the claim with additional edits and changes and then resubmit it instead of rekeying two claims.


If you are missing information, will the Web Tool process the claim anyway?

Yes and no; there are basic required fields that are denoted by asterisks, however if you forget modifiers, the Web Tool won’t recognize that.


If you copy an entire Web Tool batch over, can you choose which claims to submit?

Yes


If you have primary diagnosis codes, do you have to add additional codes?

No, you just need the primary code.


If you make an error and you submit the claim on the Web Tool, is there a way to cancel or make a correction that same day?

Once a claim is submitted via the Web Tool, there is no way to cancel or make a correction to the submitted claim that same day.  Once the claim has gone through the payment cycle, you will be able to see if the claim has been rejected, paid, or suspended.  You will then be able to make corrections to the claim before resubmitting as a new claim.


Is the Web Tool claim ID number automatically entered?

Yes.


Is there a limit to the number of claims in a Web Tool batch?

There is not a limit to the number of claims in a batch.


Under the Web Tool's status option, can I check the status of a claim I submit hard copy?

Yes, it doesn’t matter the submission method.



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