Learning Resources
Frequently Asked Questions
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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. | |
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. | |
What is the payment cycle?The payment cycle is: Wed-Mon, payments are processed on Tuesday, and payment is received as early as Friday. | |
What is the Web Tool’s Non-Contractual box?The Non-Contractual box is to be selected/entered when the provider is not contracted with the beneficiary’s third party payer. | |
When a claim is in a denied status, can you do an adjustment?You must wait for the rejection, and then do a correction. An adjustment can only be made to a paid claim. | |
When would you use a void?You would use a void if you bill for something by mistake; accidental claim submission, for example. | |