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Michigan Medicaid on BCBSM web-DENIS. Eligibility Requests and Responses. Agenda. Web-DENIS Information Review of the Process Medicaid on web-DENIS Functionality How to access web-DENIS Web-DENIS Examples. Web-DENIS Information:. Collaborative effort between BCBSM and MDCH.

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michigan medicaid on bcbsm web denis

Michigan Medicaid on BCBSM web-DENIS

Eligibility Requests and Responses

agenda
Agenda
  • Web-DENIS Information
  • Review of the Process
  • Medicaid on web-DENIS Functionality
  • How to access web-DENIS
  • Web-DENIS Examples
web denis information
Web-DENIS Information:
  • Collaborative effort between BCBSM and MDCH.
  • Internet based eligibility verification system.
  • Available to Medicaid Providers free of charge (Participating and Non-Participating BC/BS providers)
  • Participating BC/BS Providers are already familiar with using web-DENIS.
the process
The Process

Provider Site

Internet

``

270 Request

Eligibility Files

271 Response

MDCH

MPHI Database

BCBSM web-DENIS

medicaid on web denis functionality
Medicaid on web-DENIS Functionality
  • User can submit single request or roster request (up to 10 requests at one time).
  • Single Date of Service is entered but user receives eligibility for the entire month.
  • Provides the following eligibility information:
    • Medicaid (Title XIX) - Coverage not active
    • ABW - Pending Eligibility
    • MOMS - Third Party Liability (TPL)
    • CSHCS (Title V) - Dental Information
  • Coming in July – MIChild eligibility.
how to access web denis
How to access web-DENIS
  • Providers need to go to the BC/BS website at
  • www.BCBSM.com .
  • Then click on the ‘Provider’ tab (See the next slide
  • for an example).
how to access web denis8
How to access web-DENIS
  • Login Screen (See next slide for an example):
  • Current web-DENIS users can enter their user ID and password on this screen
  • Information on how to obtain access to web-DENIS is also available for providers on this screen.
how to access web denis10
How to access web-DENIS
  • Welcome Providers Screen (See next slide for an example).
  • Click on the ‘web-DENIS’ link in the left column.
  • Links to the MDCH website are also available on this screen for Medicaid Providers.
how to access web denis12
How to access web-DENIS
  • Welcome to web-DENIS screen (See next slide for an
  • example):
  • Click on the ‘Subscriber Information’ link listed on this screen.
how to access web denis14
How to access web-DENIS
  • Subscriber Information Screen (See next slide for an example):
  • Click on ‘Eligibility/Coverage/COB’ link on this screen (See the next slide)
how to access web denis16
How to access web-DENIS
  • Eligibility Coverage Screen (See next slide for an example):
  • Enter the Beneficiary ID in the ‘Contract Number’ field (this can be left blank).
  • Then click on the ‘Medicaid’ radio button and then click on the ‘Enter’ button.
how to access web denis18
How to access web-DENIS
  • Eligibility Benefit Inquiry Screen (See next slide for an example):
  • Enter the Beneficiary ID. If you do not have the Beneficiary ID, you may search using the Beneficiary Last Name, First Name, and Date of Birth.
  • Choose your Medicaid Provider Type from the drop down list and then enter in your Provider ID into the input fields as labeled.
  • Enter the date of service that you are inquiring on. (The entire month of eligibility information will be returned to you.)
  • Click on ‘Enter’ to begin your search.
example 1
Example # 1
  • Eligibility Response:Beneficiary with
  • Fee for Service Medicaid (See next Slide).
example 2
Example # 2
  • Eligibility Response:Beneficiary with
  • No coverage (See next slide).
example 3
Example # 3
  • Eligibility Response:Beneficiary enrolled in
  • A Medicaid Health Plan (See next slide).
example 4
Example # 4
  • Eligibility Response:Beneficiary enrolled in
  • An ABW County Health Plan (See next slide).
questions
Questions
  • Contact Provider Inquiry at 1-800-292-2550 or e-mail [email protected] .
  • Technical Problems, contact BCBSM at 1-877-BLUE-WEB (1-877-258-3932).
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