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

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

4. To file a claim go to the Internet Web site www.emomed.com 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. www.emomed.com MO HealthNet Division3

5. 4Mo HealthNet Division User IDPassword

6. 5Mo HealthNet Division User IDPassword

7. MO HealthNet Division6 CLAIM MANAGEMENT

8. MO HealthNet Division7 NEW XOVER CLAIM

9. MO HealthNet Division8 MEDICARE UB-04 PART B PROFESSIONAL

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

30. MO HealthNet Division29 DATE OF SERVICEPROCEDURE CODEMODIFIERS REVENUE CODE

31. MO HealthNet Division30 DATE OF SERVICEPROCEDURE CODEMODIFIERS REVENUE CODE

32. MO HealthNet Division31 DATE OF SERVICEPROCEDURE CODEMODIFIERS REVENUE CODE

33. MO HealthNet Division32 DATE OF SERVICEPROCEDURE CODEMODIFIERS REVENUE CODE

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

62. MO HealthNet Division61 SAVE OTHER PAYER TO CLAIM

63. MO HealthNet Division62 SUBMIT CLAIM

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

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

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

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

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

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

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

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

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

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

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

75. MO HealthNet Division74 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

76. MO HealthNet Division75 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

77. MO HealthNet Division76 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

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

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

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

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

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

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

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

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

86. MO HealthNet Division85 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

87. MO HealthNet Division86 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

88. MO HealthNet Division87 CLAIM GROUP CODECLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT

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

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

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

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

93. MO HealthNet Division92 SAVE OTHER PAYER TO CLAIM

94. MO HealthNet Division93 SUBMIT CLAIM

95. MO HealthNet Division94 CLAIM RECEIVEDCOPY CLAIMPAYMENT DETAILS

96. MO HealthNet Division95 CLAIM RECEIVEDCOPY CLAIMPAYMENT DETAILS

97. MO HealthNet Division96 CLAIM RECEIVEDCOPY CLAIMPAYMENT DETAILS

98. MO HealthNet Division97 NEW CLAIMFINISH

99. MO HealthNet Division98 NEW CLAIMFINISH

100. 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 573-751-6683. MO HealthNet Division99