Frequently Asked Questions


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Frequently Asked Questions

 

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

No


If providers aren’t getting remits, who can they contact?

Provider Service Center/EDI


In the Web Tool's status section, do claims purge based on batch ID?

They purge based on the check date.


Is there a way to find a claim in History if you had not submitted it through the Web Tool?

No; you can only view that claim’s status.


Why are Web Tool claims suspending?

Contact the PSC, option “2” for claims issues. 


Will voids show up on the remit?

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.


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.


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.


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.



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