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 ®

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State of MarylandDepartment of Health and Mental Hygiene & VALUEOPTIONS®

September 2009

Clinical Training


Welcome to ValueOptions®


Presenters

  • Nancy Calvert, Director, ValueOptions® Maryland Provider Relations

  • Mara Rapant, ValueOptions® National Director of Clinical Services


Agenda

  • Update

  • Overview of ProviderConnect

  • Requesting Authorizations

  • Questions


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


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

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

  • 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.


Requesting an Inpatient Authorization


Questions

valueoptionstransition@dhmh.state.md.us


Thank You!


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