1. HP Provider Relations October 2010 Web interChange Basic Functions

2. Web interChange Basic FunctionsOctober 20102 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. Web interChange Basic FunctionsOctober 20103 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. Web interChange Basic FunctionsOctober 20105 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. Web interChange Basic FunctionsOctober 20106 Indiana Medicaid Member Web Site

7. Web interChange Basic FunctionsOctober 20107 Indiana Medicaid Member Web Site

8. Web interChange Basic FunctionsOctober 20108 Provider Tab –Link to the Web interChange –Provider Enrollment –Banners – Bulletins – Newsletters –Workshop Information –Provider Education and Assistance –News and Announcements

9. Web interChange Basic FunctionsOctober 20109 Indiana Medicaid Provider Web Site

10. Web interChange Basic FunctionsOctober 201010 Indiana Medicaid Provider Web Site

11. Web interChange Basic FunctionsOctober 201011 Provider Tab

12. Learn Web interChange

13. Web interChange Basic FunctionsOctober 201013 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. Web interChange Basic FunctionsOctober 201014 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. Web interChange Basic FunctionsOctober 201015 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. Web interChange Basic FunctionsOctober 201016 How to Enroll

17. Web interChange Basic FunctionsOctober 201017 How to Enroll

18. Web interChange Basic FunctionsOctober 201018 How to Enroll

19. Web interChange Basic FunctionsOctober 201019 Logon Screen

20. Web interChange Basic FunctionsOctober 201020 Administration Functions –Create Users –Update Users –Reset Passwords –Reactivate Users –Administer Groups –Maintain Provider Profile –Maintain User Lists

21. Web interChange Basic FunctionsOctober 201021 Administration Functions

22. Web interChange Basic FunctionsOctober 201022 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. Web interChange Basic FunctionsOctober 201023 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. Web interChange Basic FunctionsOctober 201024 Check/RA Inquiry

25. Web interChange Basic FunctionsOctober 201025 Check/RA Inquiry

26. Web interChange Basic FunctionsOctober 201026 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. Web interChange Basic FunctionsOctober 201027 Claim Inquiry

28. Web interChange Basic FunctionsOctober 201028 Claim Inquiry

29. Web interChange Basic FunctionsOctober 201029 Claim Inquiry

30. Web interChange Basic FunctionsOctober 201030 Claim Inquiry

31. Web interChange Basic FunctionsOctober 201031 Claim Inquiry

32. Web interChange Basic FunctionsOctober 201032 Claim Submission Institutional billing

33. Web interChange Basic FunctionsOctober 201033 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. Web interChange Basic FunctionsOctober 201034 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. Web interChange Basic FunctionsOctober 201035 Claim Submission Institutional billing – header information

36. Web interChange Basic FunctionsOctober 201036 Claim Submission Institutional billing – additional billing codes

37. Web interChange Basic FunctionsOctober 201037 Claim Submission Institutional billing – additional billing codes

38. Web interChange Basic FunctionsOctober 201038 Claim Submission Institutional billing – additional billing codes

39. Web interChange Basic FunctionsOctober 201039 Claim Submission Institutional billing – additional billing codes

40. Web interChange Basic FunctionsOctober 201040 Claim Submission Institutional billing – additional billing codes

41. Web interChange Basic FunctionsOctober 201041 Claim Submission Institutional billing – additional billing codes

42. Web interChange Basic FunctionsOctober 201042 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. Web interChange Basic FunctionsOctober 201043 Claim Submission Institutional billing – detail information

44. Web interChange Basic FunctionsOctober 201044 Claim Submission Professional

45. Web interChange Basic FunctionsOctober 201045 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. Web interChange Basic FunctionsOctober 201046 Claim Submission Professional – header information

47. Web interChange Basic FunctionsOctober 201047 Claim Submission Professional – header information

48. Web interChange Basic FunctionsOctober 201048 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. Web interChange Basic FunctionsOctober 201049 Claim Submission Professional – detail information

50. Web interChange Basic FunctionsOctober 201050 Claim Submission Dental

51. Web interChange Basic FunctionsOctober 201051 Claim Submission Dental – 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 –Place of service –Emergency – when applicable –Accident-related – when applicable

52. Web interChange Basic FunctionsOctober 201052 Claim Submission Dental – header information

53. Web interChange Basic FunctionsOctober 201053 Claim Submission Dental – detail information –Date of service –Procedure code –Tooth number – when applicable –Surface – when applicable –Units –Total charge –Rendering NPI –Save detail –Copy/add detail – when applicable –Submit claim

54. Web interChange Basic FunctionsOctober 201054 Claim Submission Dental – detail information

55. Web interChange Basic FunctionsOctober 201055 Eligibility Inquiry –NPI – choose appropriate when applicable –Postal code or taxonomy – when applicable –Search Member recipient ID (RID) SSN Medicare ID Name and date of birth –From date –To date Search by individual date of service

56. Web interChange Basic FunctionsOctober 201056 Eligibility Inquiry

57. Web interChange Basic FunctionsOctober 201057 Password Reset Users may reset their own password utilizing the “Reset Password” function Administrators may reactivate a user who is inactive for lack of use (has not logged on for 90 days)

58. Find Help Resources available

59. Web interChange Basic FunctionsOctober 201059 Helpful Tools Avenues of resolution –IHCP Web site at www.indianamedicaid.comwww.indianamedicaid.com –IHCP Provider Manual (Web, CD-ROM, or paper) –Customer Assistance Local (317) 655-3240 All others 1-800-577-1278 –Written Correspondence HP Provider Written Correspondence P. O. Box 7263 Indianapolis, IN 46207-7263 –Provider field consultant View a current territory map and contact information online at http://provider.indianamedicaid.com http://provider.indianamedicaid.com

60. Q&A