web interchange n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Web interChange PowerPoint Presentation
Download Presentation
Web interChange

Loading in 2 Seconds...

play fullscreen
1 / 60

Web interChange - PowerPoint PPT Presentation


  • 340 Views
  • Uploaded on

Web interChange. Basic Functions. HP Provider Relations October 2010. Agenda. Objectives Indiana Medicaid Web Site What is Web interChange? How to Enroll in Web interChange Administration Menu Check/Remittance Advice (RA) Inquiry Claim Inquiry Claim Submission Institutional

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

Web interChange


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
  1. Web interChange Basic Functions HP Provider Relations October 2010

  2. Agenda Objectives Indiana Medicaid Web Site What is Web interChange? How to Enroll in Web interChange Administration Menu Check/Remittance Advice (RA) Inquiry Claim Inquiry Claim Submission • Institutional • Professional • Dental Eligibility Inquiry Password Reset Questions

  3. Objectives Become familiar with the Indiana Medicaid Web site Know how to enroll to use Web interChange Become familiar with Web interChange functions

  4. Introduce Indiana Medicaid Web site

  5. Member Tab Qualification Guidelines Medicaid Programs Apply for Medicaid Benefits Check Application Status Search for a Provider Choose a Health Plan Presumptive Eligibility Pharmacy Information

  6. Indiana Medicaid Member Web Site

  7. Indiana Medicaid Member Web Site

  8. Provider Tab Link to the Web interChange Provider Enrollment Banners – Bulletins – Newsletters Workshop Information Provider Education and Assistance News and Announcements

  9. Indiana Medicaid Provider Web Site

  10. Indiana Medicaid Provider Web Site

  11. Provider Tab

  12. Learn Web interChange

  13. What is Web interChange? Web interChange is an interactive Web application that allows providers to: Submit claims Submit voids or adjustments Review processed claims Verify members’ eligibility Obtain and print check/Remittance Advice (RA) information

  14. How to Enroll Access Web interChange from the Indiana Health Coverage Programs (IHCP) Web site at: • https://interchange.indianamedicaid.com/Administrative/logon.aspx Download the interChange Administrator Request Form Complete and mail or fax forms to: HP Indiana Title XIX Electronic Solutions Help Desk 950 N. Meridian Street Suite 1150 Indianapolis, IN 46204-4288 Fax number: (317) 488-5185 • Web interChange is free.

  15. How to Enroll Each provider must assign a Web interChange administrator In addition to the enrollment form, providers must send a note of acknowledgement on company letterhead indicating the owner approves the person completing the request form as a Web interChange administrator for the organization By signing, the owner acknowledges that he or she has read and understood the document and agreed to the terms and conditions as they describe the role that the administrator will perform

  16. How to Enroll

  17. How to Enroll

  18. How to Enroll

  19. Logon Screen

  20. Administration Functions Create Users Update Users Reset Passwords Reactivate Users Administer Groups Maintain Provider Profile Maintain User Lists

  21. Administration Functions

  22. Check/RA Inquiry Accessing paperless RAs through Web interChange Three Easy Steps Step 1 – From the Web interChange menu, select Check/RA Inquiry. On the Check/RA Inquiry page, enter the desired search criteria and click Submit. A list of checks and RAs (most recent first) displays. • The link to download the RA displays even when there is no payment • If no check was issued in conjunction with the RA, the check number displays as “000000000” • The Provider/National Provider Identifier (NPI) fields populate based on the user’s security

  23. Check/RA Inquiry Accessing paperless RAs through Web interChange Step 2 – Click on the PDF icon to the right of the check number (in the “Download RA” column) • The RA opens as a PDF document in a new window • Downloaded RAs have a Family and Social Services Administration (FSSA) watermark • If users wish to save copies of RAs for their records, they can use the “Save a Copy” feature of Adobe Acrobat Reader • RAs can also be printed from Adobe Acrobat Reader Step 3 – If the desired RA is not displayed, change the search criteria at the top of the Check/RA Inquiry page • RAs are available in Web interChange for four weeks

  24. Check/RA Inquiry

  25. Check/RA Inquiry

  26. Claim Inquiry • Check status of claims • By member number and date of service • RA date • Date of service • Print proof of timely filing • Show more claim information • Review claim explanation of benefit information • Copy, void, and replace claims

  27. Claim Inquiry

  28. Claim Inquiry

  29. Claim Inquiry

  30. Claim Inquiry

  31. Claim Inquiry

  32. Claim Submission Institutional billing

  33. Claim Submission Institutional billing – header information • NPI – choose appropriate when applicable • Member recipient ID (RID) • Member name Patient account number – assigned by the provider • Attending physician NPI Operating Physician NPI (when applicable) Other Physician NPI (PMP) – when applicable • Type of bill • From date of service • Thru date of service • Covered days • Patient status

  34. Claim Submission Institutional billing – header information • Admission type • Admission date • Admission hour – when applicable • Diagnosis codes • E code – when applicable • Principal procedure – when applicable • Condition code – when applicable • Value code • Occurrence code – when applicable • POA Indicator – when applicable • Additional codes – when applicable

  35. Claim Submission Institutional billing – header information

  36. Claim Submission Institutional billing – additional billing codes

  37. Claim Submission Institutional billing – additional billing codes

  38. Claim Submission Institutional billing – additional billing codes

  39. Claim Submission Institutional billing – additional billing codes

  40. Claim Submission Institutional billing – additional billing codes

  41. Claim Submission Institutional billing – additional billing codes

  42. Claim Submission Institutional billing – detail information • Revenue code • Procedure code and modifier(s) – when applicable • Date of service • Units • Total charge • Save detail • Copy/add detail – when applicable • Submit claim

  43. Claim Submission Institutional billing – detail information

  44. Claim Submission Professional

  45. Claim Submission Professional – header information • NPI – choose appropriate when applicable • Postal code or taxonomy – when applicable • Member recipient ID (RID) • Member name • Patient account number – assigned by the provider • Referring NPI – when applicable • Certification code – when applicable • Place of service • Pregnancy – if applicable • Last menstrual period – if applicable • Accident related – if applicable • Diagnosis code

  46. Claim Submission Professional – header information

  47. Claim Submission Professional – header information

  48. Claim Submission Professional – detail information • From date of service • Thru date of service • Place of service • Procedure code • Modifier(s)– when applicable • Related diagnosis – when applicable • Units • Total charge • Emergency – when applicable • EPSDT – when applicable • Rendering NPI • NDC information – when applicable • Save detail • Copy/add detail – when applicable • Submit claim

  49. Claim Submission Professional – detail information

  50. Claim Submission Dental