1. THH Transition Web Page Instructions 6-17-2013

2. | 2 Welcome to the CareCentrix Transition Process Log on to the CareCentrix portal Logon https://www.carecentrixportal.com Select the option “Member Transition” located on the right hand side of the page under the listing titled “For Provider” Web page instruction page 7 -12 Automated response expectations page 13 -15 For further Transition assistance please watch the Transition video. The link is available under “Member Transition”

3. | 3 Transition Video

4. | 4 Choose your plan to Register for Health Plan A 7-1-2013 to 11-30-2013 Health Plan B 7-1-2013 to 11-30-2013 Health Plan C 7-1-2013 to 11-30-2013 Select the plan to register patients for transition. Each health plan will indicate the dates available for registering your patients

5. | 5 Select your method of registration; Webpage THH Providers: Web Page Registration is recommended. *** instruction manual is available here for download and support

6. | 6 Enter your contact information Needed for questions about your patients To send your confirmations and authorizations ** E-mail

7. | 7 Web Registration is Interactive Save Time !! When a Zip code is added the city and state populate – Use the drop down box to pick the city you need Enter a HCPC and click SearchEnter a HCPC and click Search – all associated services will appear – simply choose the one you want Save and Add Another HCPCHave more then one item to register for a patient - Click Save and Add Another HCPC – Same As PreviousSame As Previous – will allow the information previously entered for that patient to repopulate for that section

8. | 8 Web Registration Choose YES or NO Is this Transition Health Plan the Primary Insurance Choose YES or NO If NO is selected, type in the primary insurance name Enter the patients Subscriber ID number Important !!! Please enter the Name of your company A Contact name is needed for questions about your entries Phone, City, and State should reflect the servicing branch Provider NPI and Tax ID are important – this will drive which Location will be authorized for the item submitted

9. | 9 Web Registration Demographics are essential for registration – do not leave any blanks All dates should be entered as: mm/dd/yyyy Enter a zip code and the city – state will auto populate * use the drop down box to pick your city

10. | 10 Web Registration Enter your HCPC code and click on Simply click the line with the CCX code, UOM, and Description that you need. Your item will populate to the box below your search window Enter the Next Visit Scheduled date Choose the patients Frequency: number of visits – select from drop down: per day, per week, per month. Choose the Duration: number of days, weeks, months

11. | 11 Web Registration Primary Diagnosis is the primary reason the service listed is needed and what qualifies the patient for that service. The Physician who ordered the service should be listed If you are registering more than one service for a patient, you can click on and the information will auto populate

12. | 12 Web Registration Once you complete the Physicians information you have two choices Click when you have more than one item to register for your patient.  Your current patient’s information auto populates  Your Provider information auto populates Click when you have completed your patients registration Once you click you can choose to add another patient for registration or you can submit your registration/s for Transition.

13. | 13 Responses Once you have submitted your transition patients, you will receive a DNR automatic response about your submission within 48 hours The email senders name will be listed as DNR@CareCentrix.com (DNR = Do Not Respond)This is not a responding email address This response will tell you how many line items you submitted, How many were accepted, and How many are being returned to you. If there is a file attached, please review for any corrections needed.

14. | 14 Responses If you receive a DNR that has an attachment - open the file. Any needed corrections will be highlighted in RED When you hover over the highlighted box, the error definition will display Correct the error and upload the template onto the transition portal. ***In this case, update the patients insurance ID

15. | 15 Responses Once your patient’s have been accepted for processing, your authorizations will be returned to you via email from CCX. Submissions without exceptions will be returned in 24-72 hours Exceptions will pend for further review by the Transition team. Once the review is completed, an authorization (Tab: Auth) or a Rejection (Tab: Reject) will be generated and emailed back to you. HCPCs highlighted in Red were authorized at a standard template rate Units highlighted in Red were authorized based on UM guidelines