MO HealthNet Internet Provider Training Program Presented by the Provider Education Unit MO HealthNet Division 1Mo HealthNet Division.

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Presentation transcript:

MO HealthNet Internet Provider Training Program Presented by the Provider Education Unit MO HealthNet Division 1Mo HealthNet Division

Proper Completion of the Online Medicare Part B of A Crossover Claim Presented by the Provider Education Unit MO HealthNet Division Mo HealthNet Division2

To file a claim go to the Internet Web site and log on. This will bring up the eProvider Home Page. At the top of each page is a “Help” button in the form of a question mark. You can print out field-by-field instructions. MO HealthNet Division3

4Mo HealthNet Division User IDPassword

5Mo HealthNet Division User IDPassword

MO HealthNet Division6 CLAIM MANAGEMENT

MO HealthNet Division7 NEW XOVER CLAIM

MO HealthNet Division8 MEDICARE UB-04 PART B PROFESSIONAL

MO HealthNet Division9 PARTICIPANT DCNPARTICIPANT LAST NAMEPARTICIPANT FIRST NAME PATIENT ACCOUNT NUMBERPARTICIPANT MEDICARE ID (HIC)

MO HealthNet Division10 PARTICIPANT DCNPARTICIPANT LAST NAMEPARTICIPANT FIRST NAME PATIENT ACCOUNT NUMBERPARTICIPANT MEDICARE ID (HIC)

MO HealthNet Division11 PARTICIPANT DCNPARTICIPANT LAST NAMEPARTICIPANT FIRST NAME PATIENT ACCOUNT NUMBERPARTICIPANT MEDICARE ID (HIC)

MO HealthNet Division12 PARTICIPANT DCNPARTICIPANT LAST NAMEPARTICIPANT FIRST NAME PATIENT ACCOUNT NUMBERPARTICIPANT MEDICARE ID (HIC)

MO HealthNet Division13 PARTICIPANT DCNPARTICIPANT LAST NAMEPARTICIPANT FIRST NAME PATIENT ACCOUNT NUMBERPARTICIPANT MEDICARE ID (HIC)

MO HealthNet Division14 MEDICARE PROVIDER NPIPERFORMING PROVIDER NPI DIAGNOSIS CODESTYPE OF BILL SAVE CLAIM HEADER

MO HealthNet Division15 MEDICARE PROVIDER NPIPERFORMING PROVIDER NPI DIAGNOSIS CODESTYPE OF BILL SAVE CLAIM HEADER

MO HealthNet Division16 MEDICARE PROVIDER NPIPERFORMING PROVIDER NPI DIAGNOSIS CODESTYPE OF BILL SAVE CLAIM HEADER

MO HealthNet Division17 MEDICARE PROVIDER NPIPERFORMING PROVIDER NPI DIAGNOSIS CODESTYPE OF BILL SAVE CLAIM HEADER

MO HealthNet Division18 MEDICARE PROVIDER NPIPERFORMING PROVIDER NPI DIAGNOSIS CODESTYPE OF BILL SAVE CLAIM HEADER

MO HealthNet Division19 DATE OF SERVICEPROCEDURE CODEMODIFIERS REVENUE CODENATIONAL DRUG CODEDECIMAL QUANTITY

MO HealthNet Division20 DATE OF SERVICEPROCEDURE CODEMODIFIERS REVENUE CODENATIONAL DRUG CODEDECIMAL QUANTITY

MO HealthNet Division21 DATE OF SERVICEPROCEDURE CODEMODIFIERS REVENUE CODENATIONAL DRUG CODEDECIMAL QUANTITY

MO HealthNet Division22 DATE OF SERVICEPROCEDURE CODEMODIFIERS REVENUE CODENATIONAL DRUG CODEDECIMAL QUANTITY

MO HealthNet Division23 DATE OF SERVICEPROCEDURE CODEMODIFIERS REVENUE CODENATIONAL DRUG CODEDECIMAL QUANTITY

MO HealthNet Division24 DATE OF SERVICEPROCEDURE CODEMODIFIERS REVENUE CODENATIONAL DRUG CODEDECIMAL QUANTITY

MO HealthNet Division25 BILLED CHARGESDAYS/UNITS BILLEDPAID AMOUNT SAVE DETAIL LINE TO CLAIM

MO HealthNet Division26 BILLED CHARGESDAYS/UNITS BILLEDPAID AMOUNT SAVE DETAIL LINE TO CLAIM

MO HealthNet Division27 BILLED CHARGESDAYS/UNITS BILLEDPAID AMOUNT SAVE DETAIL LINE TO CLAIM

MO HealthNet Division28 BILLED CHARGESDAYS/UNITS BILLEDPAID AMOUNT SAVE DETAIL LINE TO CLAIM

MO HealthNet Division29 DATE OF SERVICEPROCEDURE CODEMODIFIERS REVENUE CODE

MO HealthNet Division30 DATE OF SERVICEPROCEDURE CODEMODIFIERS REVENUE CODE

MO HealthNet Division31 DATE OF SERVICEPROCEDURE CODEMODIFIERS REVENUE CODE

MO HealthNet Division32 DATE OF SERVICEPROCEDURE CODEMODIFIERS REVENUE CODE

MO HealthNet Division33 BILLED CHARGESDAYS/UNITS BILLEDPAID AMOUNT SAVE DETAIL LINE TO CLAIM

MO HealthNet Division34 BILLED CHARGESDAYS/UNITS BILLEDPAID AMOUNT SAVE DETAIL LINE TO CLAIM

MO HealthNet Division35 BILLED CHARGESDAYS/UNITS BILLEDPAID AMOUNT SAVE DETAIL LINE TO CLAIM

MO HealthNet Division36 BILLED CHARGESDAYS/UNITS BILLEDPAID AMOUNT SAVE DETAIL LINE TO CLAIM

MO HealthNet Division37 FILING INDICATOR OTHER PAYER IDOTHER PAYER NAME PAID DATE

MO HealthNet Division38 FILING INDICATOR OTHER PAYER IDOTHER PAYER NAME PAID DATE

MO HealthNet Division39 FILING INDICATOR OTHER PAYER IDOTHER PAYER NAME PAID DATE

MO HealthNet Division40 FILING INDICATOR OTHER PAYER IDOTHER PAYER NAME PAID DATE

MO HealthNet Division41 PAID AMOUNTTOTAL DENIED AMOUNTRA REMARK CODES SAVE OTHER PAYER DATA AND MANAGE CODES

MO HealthNet Division42 PAID AMOUNTTOTAL DENIED AMOUNTRA REMARK CODES SAVE OTHER PAYER DATA AND MANAGE CODES

MO HealthNet Division43 PAID AMOUNTTOTAL DENIED AMOUNTRA REMARK CODES SAVE OTHER PAYER DATA AND MANAGE CODES

MO HealthNet Division44 PAID AMOUNTTOTAL DENIED AMOUNTRA REMARK CODES SAVE OTHER PAYER DATA AND MANAGE CODES

MO HealthNet Division45 ASSOCIATED LINE ITEMS CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division46 ASSOCIATED LINE ITEMS CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division47 ASSOCIATED LINE ITEMS CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division48 ASSOCIATED LINE ITEMS CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division49 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT SAVE CODES TO OTHER PAYER

MO HealthNet Division50 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT SAVE CODES TO OTHER PAYER

MO HealthNet Division51 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT SAVE CODES TO OTHER PAYER

MO HealthNet Division52 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT SAVE CODES TO OTHER PAYER

MO HealthNet Division53 ASSOCIATED LINE ITEMS CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division54 ASSOCIATED LINE ITEMS CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division55 ASSOCIATED LINE ITEMS CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division56 ASSOCIATED LINE ITEMS CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division57 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT SAVE CODES TO OTHER PAYER

MO HealthNet Division58 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT SAVE CODES TO OTHER PAYER

MO HealthNet Division59 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT SAVE CODES TO OTHER PAYER

MO HealthNet Division60 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT SAVE CODES TO OTHER PAYER

MO HealthNet Division61 SAVE OTHER PAYER TO CLAIM

MO HealthNet Division62 SUBMIT CLAIM

MO HealthNet Division63 FILING INDICATOROTHER PAYER IDOTHER PAYER NAME PAID AMOUNTPAID DATE SAVE OTHER PAYER DATA AND MANAGE CODES TOTAL DENIED AMOUNT

MO HealthNet Division64 FILING INDICATOROTHER PAYER IDOTHER PAYER NAME PAID AMOUNTPAID DATE SAVE OTHER PAYER DATA AND MANAGE CODES TOTAL DENIED AMOUNT

MO HealthNet Division65 FILING INDICATOROTHER PAYER IDOTHER PAYER NAME PAID AMOUNTPAID DATE SAVE OTHER PAYER DATA AND MANAGE CODES TOTAL DENIED AMOUNT

MO HealthNet Division66 FILING INDICATOROTHER PAYER IDOTHER PAYER NAME PAID AMOUNTPAID DATE SAVE OTHER PAYER DATA AND MANAGE CODES TOTAL DENIED AMOUNT

MO HealthNet Division67 FILING INDICATOROTHER PAYER IDOTHER PAYER NAME PAID AMOUNTPAID DATE SAVE OTHER PAYER DATA AND MANAGE CODES TOTAL DENIED AMOUNT

MO HealthNet Division68 FILING INDICATOROTHER PAYER IDOTHER PAYER NAME PAID AMOUNTPAID DATE SAVE OTHER PAYER DATA AND MANAGE CODES TOTAL DENIED AMOUNT

MO HealthNet Division69 FILING INDICATOROTHER PAYER IDOTHER PAYER NAME PAID AMOUNTPAID DATE SAVE OTHER PAYER DATA AND MANAGE CODES TOTAL DENIED AMOUNT

MO HealthNet Division70 ASSOCIATED LINE ITEMS CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division71 ASSOCIATED LINE ITEMS CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division72 ASSOCIATED LINE ITEMS CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division73 ASSOCIATED LINE ITEMS CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division74 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division75 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division76 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division77 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNTSAVE CODES TO OTHER PAYER

MO HealthNet Division78 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNTSAVE CODES TO OTHER PAYER

MO HealthNet Division79 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNTSAVE CODES TO OTHER PAYER

MO HealthNet Division80 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNTSAVE CODES TO OTHER PAYER

MO HealthNet Division81 ASSOCIATED LINE ITEMS CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division82 ASSOCIATED LINE ITEMS CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division83 ASSOCIATED LINE ITEMS CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division84 ASSOCIATED LINE ITEMS CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division85 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division86 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division87 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

MO HealthNet Division88 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNTSAVE CODES TO OTHER PAYER

MO HealthNet Division89 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNTSAVE CODES TO OTHER PAYER

MO HealthNet Division90 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNTSAVE CODES TO OTHER PAYER

MO HealthNet Division91 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNTSAVE CODES TO OTHER PAYER

MO HealthNet Division92 SAVE OTHER PAYER TO CLAIM

MO HealthNet Division93 SUBMIT CLAIM

MO HealthNet Division94 CLAIM RECEIVEDCOPY CLAIMPAYMENT DETAILS

MO HealthNet Division95 CLAIM RECEIVEDCOPY CLAIMPAYMENT DETAILS

MO HealthNet Division96 CLAIM RECEIVEDCOPY CLAIMPAYMENT DETAILS

MO HealthNet Division97 NEW CLAIMFINISH

MO HealthNet Division98 NEW CLAIMFINISH

Thank you again for participating in this training program. If you have questions regarding the information in this presentation, please contact the Provider Education Unit at MO HealthNet Division99