Learning Resources
Frequently Asked Questions
Currently sorted By last update descending Sort chronologically: By last update
What do you do if you contact a Primary Care Provider and they have no record of a patient?If this were to happen, you would need to contact the Managed Care Organization directly. | |
Do we need to send an EOB?An Explanation of Benefits from a third party payer should be kept on file in the provider’s office, especially if the payer didn’t submit payment. | |
How does Medicaid know what the provider is receiving from another carrier/third party payer?There are spaces/sections on the claim form that identify what you receive from the other carrier. | |
Can I handwrite on the claim forms?Yes you can, or you use a printing service. | |
What should I do if one line does not pay on your claim?Correct and refile that one line. | |
Can you export data from Web Tool?Not at this time, however you can print screen and save it as a file. | |
Can you only see a certain amount of beneficiaries?Yes, but you must have a visible sign stating so. | |
Who updates the website for manuals? | |
How often are provider manuals updated?Provider manuals are usually updated monthly based on program area. | |
Are program representatives organized by demographics?Yes they are, depending on service area. | |