Скачать презентацию New Provider Healthcare Portal Karen Young Training and Скачать презентацию New Provider Healthcare Portal Karen Young Training and

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New Provider Healthcare Portal Karen Young, Training and Program Developer, MMIS December 2017 New Provider Healthcare Portal Karen Young, Training and Program Developer, MMIS December 2017

New MMIS System 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights Reserved. New MMIS System 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights Reserved.

Provider Healthcare Portal 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights Reserved. Provider Healthcare Portal 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights Reserved.

Healthcare Portal Features § Online provider enrollment application § Submit, view status, and adjust(edit)/void Healthcare Portal Features § Online provider enrollment application § Submit, view status, and adjust(edit)/void claims (including attachments) § Electronic prior authorization requests and status checks § Electronic uploads of attachments to claims and PAs § Real-time claims processing and eligibility verification § Retrieve remittance advices for up to seven years § Secure correspondence 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights Reserved.

Provider Portal Registration § Registration and Trading Partner Enrollment has re-opened § The Trading Provider Portal Registration § Registration and Trading Partner Enrollment has re-opened § The Trading Partner ID (TP ID) will replace the Submitter ID (MC ID) § Job Aids To Assist: Portal Registration and Trading Partner Enrollment § Webinars are available for viewing-Navigating the Portal, Registering on the Portal 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights Reserved.

How Will Billing Change for Providers? 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights How Will Billing Change for Providers? 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights Reserved.

What About PES? § PES will no longer return a 277 Rejection Report. All What About PES? § PES will no longer return a 277 Rejection Report. All claims will be accepted for processing. You will still receive a claim status response report. § Providers will have the ability to check the status of their claims on the Healthcare Portal § Claims will appear on your Remittance Advice as paid, suspended or denied § Providers will have to upgrade to version 2. 25 once we go live. Currently, you should be at version 2. 24. Please refer to Help and About on your PES software to see what version of the software you have. § You cannot have two versions of PES on the same computer at the same time. § LTC Providers will no longer be able to submit their LTC Census on PES. Please see the Transition Guide for more detailed information 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights Reserved.

Have a Vendor or Clearing House? Contact your vendor or clearing house immediately to Have a Vendor or Clearing House? Contact your vendor or clearing house immediately to notify them of changes that must be made regarding the submission process for the new system. Please follow the links below to find out more on enrollment and companion guides. https: //www. medicaid. state. ar. us/provider/frontline. html https: //www. medicaid. state. ar. us/Provider/hipaa/compan. aspx 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights Reserved.

Front Line 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights Reserved. Front Line 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights Reserved.

Your Source for Up-to-Date Information 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights Reserved. Your Source for Up-to-Date Information 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights Reserved.

Training Tools and Job Aids 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights Reserved. Training Tools and Job Aids 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights Reserved.

Webinars 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights Reserved. Webinars 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights Reserved.

Things to Know § First point of contact www. Medicaid. state. ar. us Frontline, Things to Know § First point of contact www. Medicaid. state. ar. us Frontline, Provider Assistance Center (PAC), Electronic Data Interchange (EDI) § AFMC Provider Outreach reps afmc. org/mmis § No more AEVCS transaction fees 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights Reserved.

Thank you! Provider Assistance Center 1 -800 -457 -4454 3/19/2018 Copyright © 2017 AFMC, Thank you! Provider Assistance Center 1 -800 -457 -4454 3/19/2018 Copyright © 2017 AFMC, Inc. All Rights Reserved.