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Online MCO Provider Enrollment . Presented by: Xerox State Healthcare, LLC Provider Relations. Purpose of Workshop. Provider Enrollment, specialized for providers under MCOs Helpful Hints Web portal screens with helps Resources. Helpful Hints.

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Online mco provider enrollment

Online MCO Provider Enrollment

Presented by:

Xerox State Healthcare, LLC

Provider Relations


Purpose of workshop
Purpose of Workshop

  • Provider Enrollment, specialized for providers under MCOs

  • Helpful Hints

  • Web portal screens with helps

  • Resources


Helpful hints
Helpful Hints

  • The application process requires detailed information

  • There are box by box instructions for the

    • MAD 312 for providing services, paid by MCO, claims submitted to MCO

    • MAD 355 for providing services, billing directly to Xerox or under MCO

  • Before proceeding to the portal screens, you may want to:

    • Review the box by box instructions for the application, or

    • Print the box by box instructions


  • Click here to view provider enrollment box by box instructions for MAD 312 and Mad 335


    Click here to begin on line enrollment instructions for MAD 312 and Mad 335


    Please select one of the three options instructions for MAD 312 and Mad 335


    Providers with mcos
    Providers with MCOs instructions for MAD 312 and Mad 335

    • If you are providing services under an MCO, billing the MCO or receiving a capitation and will be paid by the MCO, use the MAD 312application

    • If in private practice and providing services under the MCO, you may already have your provider identification.

    • If in private practice and providing services under the MCO, possibly billing Xerox for some clients, use the MAD 335 application


    • MCO providers note: instructions for MAD 312 and Mad 335

    • Provide services and paid by MCO, use Mad 312

    • If private practice billing directly and also with MCO, use MAD 335

    Check one of the types and one of the 3 options below


    Before you move on
    Before you move on instructions for MAD 312 and Mad 335

    • You may want to review the box by box instructions for the:

      • MAD 335 groups, MCOs, individuals who would receive payment, if provider bills Medicaid (Xerox) directly.

      • MAD 312 Individual applicant within a group, or if paid by an MCO, such as Behavioral Health providers


    You will receive a unique reference number on the next screen, whether you continue or exit

    You may want to gather documents to upload attachments on subsequent screens


    One final screen to submit the application on line, then a summary page with your tracking number


    Resources
    Resources summary page with your tracking number

    • When online use: Ask Service Representative

    • [email protected]

    • [email protected]

    • Call Center 505-246-0710 or 800-299-7304

      • New Mexico Web Portal

        • Provider Information section

        • Links and FAQ section

        • Provider Login section


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