Learning Resources
Frequently Asked Questions
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What is an MHN referral number?If your service requires a referral, the MHN gives you an authorization number. | |
Is the Web Tool updated daily?Yes, the Web Tool is updated every night. | |
If the Web Tool says they have 2 visits but the beneficiary goes somewhere else, how do we know if they have anymore visits?Web Tool is updated nightly; you should always check and if they are out of visits, let them know before providing services. | |
If you are checking a new person’s eligibility, can you add them to your recipient list from that screen?Yes, there is a button to do that. | |
If a beneficiary isn’t eligible, will the Web Tool show ineligible?Yes, information is listed in red. | |
How can you find out MHN info for a beneficiary?A provider can verify Medical Homes Network enrollment on the eligibility section of the Web Tool under the “Beneficiary Special Program Data” section. | |
Will Web Tool list information auto-update for you as changes are made?No, it is not tied to another system. Updates are your responsibility. | |
Does the Web Tool’s Lists feature allow you to save a beneficiary’s prior authorization in a field?No, prior authorization may not be necessary for all services. There is a field for prior authorization. | |
How can I verify that my claims on the Web Tool have been submitted successfully? | |