State of maryland department of health and mental hygiene v alue o ptions
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State of Maryland Department of Health and Mental Hygiene & V ALUE O PTIONS ® . September 2009. Clinical Training . Welcome to ValueOptions ®. Presenters. Nancy Calvert, Director, ValueOptions® Maryland Provider Relations Mara Rapant, ValueOptions ® National Director of Clinical Services.

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State of maryland department of health and mental hygiene v alue o ptions

State of MarylandDepartment of Health and Mental Hygiene & VALUEOPTIONS®

September 2009

Clinical Training


Welcome to valueoptions

Welcome to ValueOptions®


Presenters

Presenters

  • Nancy Calvert, Director, ValueOptions® Maryland Provider Relations

  • Mara Rapant, ValueOptions® National Director of Clinical Services


Agenda

Agenda

  • Update

  • Overview of ProviderConnect

  • Requesting Authorizations

  • Questions


Updates

Updates

  • ValueOptions® Maryland Website

  • http://maryland.valueoptions.com

    • Provider Alerts

      • MHA updates and announcements

      • ValueOptions® Maryland updates and announcements

    • Provider Manual

    • Training Schedule

    • ProviderConnect “tips”

    • Maryland Specific ProviderConnect “demo”

    • Consumer Information

  • New Telephonic Options for:

    • Inpatient Authorization Requests – 800-888-1965, option 2

    • Crisis Bed Authorizations – Cheryl Thompson, option 4, x214040


Providerconnect

ProviderConnect


Valueoptions providerconnect

ValueOptions® ProviderConnect

ProviderConnect is an online tool that increases convenience & decreases administrative burden.

  • Free, secure, online application

  • Easy access 24 hours a day, 7 days a week

  • Complete multiple transactions in a single sitting


Valueoptions providerconnect features

ValueOptions® ProviderConnect Features

With ProviderConnect providers can:

  • Verify Consumer eligibility

  • Register Uninsured Consumers (effective October 2009)

  • Request Authorizations

  • View Authorizations

  • Submit Claims (Batch and Direct/On-line claim)

  • View Claim Status

  • View and Print Provider Summary Voucher

  • Submit inquiries to Customer Service

  • Access and print forms


Accessing providerconnect

Accessing ProviderConnect

  • Each provider has a secure login and online registration, including a provider ID number via the ProviderConnect Web site.

  • Additional logins for other providers in the same practice are available through ProviderConnect. Contact:

  • ValueOptions® EDI Helpdesk

    • (888) 247-9311, Option 3

    • Monday through Friday

    • 8 a.m. – 6 p.m. EST

Turn around time for additional logins is 48 hours.


State of maryland department of health and mental hygiene valueoptions

Requesting an Inpatient Authorization


State of maryland department of health and mental hygiene valueoptions

Questions

[email protected]


Thank you

Thank You!


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