Learning Resources
Frequently Asked Questions
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If I think my revalidation notification letter is lost in the mail, can I call the Provider Service Center and have someone give me my revalidation reference number over the phone?No. The only way to access your revalidation reference number is to have your revalidation notification letter remailed to you. Revalidation FAQs PDF | |
If my third party has several addresses, which one do I choose?You would contact the company to find out which address is for your service area. | |
If providers aren’t getting remits, who can they contact?Provider Service Center/EDI | |
If the beneficiary doesn’t have an ID number for the MCO, how do we obtain it?Contact the MCO. | |
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 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 a multiline claim and only one line needs recouping, you still complete an adjustment?Yes, claims are 100% adjusted, all lines will be replaced. | |