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THH Transition Web Page Instructions

THH Transition Web Page Instructions. 6-17-2013. Welcome to the CareCentrix Transition Process. Log on to the CareCentrix portal Logon https://www.carecentrixportal.com

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THH Transition Web Page Instructions

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  1. THH TransitionWeb Page Instructions 6-17-2013

  2. Welcome to the CareCentrix Transition Process • Log on to the CareCentrix portal Logon https://www.carecentrixportal.com • Select the option “Member Transition” located on the right hand side of the page under the listing titled “For Provider” • Web page instruction • page 7 -12 • Automated response expectations • page 13 -15 • For further Transition assistance please watch the Transition video. The link is available under “Member Transition”

  3. Transition Video

  4. Choose your plan to Register for Health Plan B 7-1-2013 to 11-30-2013 Health Plan C 7-1-2013 to 11-30-2013 Health Plan A 7-1-2013 to 11-30-2013 • Select the plan to register patients for transition. • Each health plan will indicate the dates available for registering your patients

  5. Select your method of registration; Webpage THH Providers:Web Page Registration is recommended. ***instruction manual is available here for download and support

  6. Enter your contact information Needed for questions about your patients To send your confirmations and authorizations ** E-mail

  7. Web Registration is Interactive • Save Time !! • When a Zip code is added the city and state populate – Use the drop down box to pick the city you need • Enter a HCPC and click Search – all associated services will appear – simply choose the one you want • Have more then one item to register for a patient - Click Save and Add Another HCPC – • Same As Previous – will allow the information previously entered for that patient to repopulate for that section

  8. Web Registration • Is this Transition Health Plan the Primary Insurance Choose YES or NO • If NO is selected, type in the primary insurance name • Enter the patients Subscriber ID number • Important !!! • Please enter the Name of your company • A Contact name is needed for questions about your entries • Phone, City, and State should reflect the servicing branch • Provider NPI and Tax ID are important – this will drive which Location will be authorized for the item submitted

  9. Web Registration • Demographics are essential for registration – do not leave any blanks • All dates should be entered as: mm/dd/yyyy Enter a zip code and the city – state will auto populate * use the drop down box to pick your city

  10. Web Registration • Enter your HCPC code and click on • Simply click the line with the CCX code, UOM, and Description that you need. • Your item will populate to the box below your search window • Enter the Next Visit Scheduled date • Choose the patients Frequency: number of visits – select from drop down: per day, per week, per month. • Choose the Duration: number of days, weeks, months

  11. Web Registration • Primary Diagnosis is the primary reason the service listed is needed and what qualifies the patient for that service. • The Physician who ordered the service should be listed • If you are registering more than one service for a patient, you can click on and the information will auto populate

  12. Web Registration • Once you complete the Physicians information you have two choices • Click when you have more than one item to register for your patient. • Your current patient’s information auto populates • Your Provider information auto populates • Click when you have completed your patients registration • Once you click you can choose to add another patient for registration or you can submit your registration/s for Transition.

  13. Responses • Once you have submitted your transition patients, you will receive a DNR automatic response about your submission within 48 hours • The email senders name will be listed as DNR@CareCentrix.com • (DNR = Do Not Respond)This is not a responding email address • This response will tell you how many line items you submitted, How many were accepted, and How many are being returned to you. • If there is a file attached, please review for any corrections needed.

  14. Responses • If you receive a DNR that has an attachment - open the file. • Any needed corrections will be highlighted in RED • When you hover over the highlighted box, the error definition will display • Correct the error and upload the template onto the transition portal. • ***In this case, update the patients insurance ID

  15. Responses • Once your patient’s have been accepted for processing, your authorizations will be returned to you via email from CCX. • Submissions without exceptions will be returned in 24-72 hours • Exceptions will pend for further review by the Transition team. • Once the review is completed, an authorization (Tab: Auth) or a Rejection (Tab: Reject) will be generated and emailed back to you. • HCPCs highlighted in Red were authorized at a standard template rate • Units highlighted in Red were authorized based on UM guidelines

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