Web interChange

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