Learning Resources
Frequently Asked Questions
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How far back can you bill?Within 12 months | |
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. | |
How far back can you file a void?15 - 18 months | |
Will voids show up on the remit?Yes | |
If I submit a claim through a vendor, will I be able to view it under Web Tool’s History?No | |
If you copy an entire Web Tool batch over, can you choose which claims to submit?Yes | |
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 I have to request another Login and Password if more than one person wants to use the Web Tool?Yes, all users must have their own individual login ID and Password to access the Web Tool. If more than one user tries to login under the same login ID and Password, they will receive a denial message. | |
What if a claim is created, but the beneficiary says that he/she no longer has the insurance on file?If a beneficiary no longer has the insurance policy that is seen on the Web Tool, the provider can refer the beneficiary to their eligibility counselor/worker, or complete the Health Insurance Information Referral Form (HIIRF) to update the beneficiary’s third party payer information. Making a change to a policy that already exists in the Medicaid Management Information System (MMIS) takes five days. The HIIRF Form can be faxed to 803-252-0870. | |
Can the HIIRF form be faxed?The HIIRF can be faxed to Medicaid Insurance Verification Services at (803) 252-0870. | |