Provider Healthcare Portal

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1 Provider Healthcare Portal HP Provider Relations/October 2014

2 What is the Provider Healthcare Portal? Changes in the works Family and Social Services Administration (FSSA) and Hewlett-Packard Enterprise Services (HPES) will be implementing a new Medicaid Management Information System (MMIS) Replacing IndianaAIM with Indiana Core MMIS Replacing Web interchange with Provider Healthcare Portal 2

3 What is the Provider Healthcare Portal? Current Web interchange New Provider Healthcare Portal 3

4 Provider Healthcare Portal Highlights Portal Features NEW: On-line Provider Enrollment capability NEW: On-line Provider Revalidation NEW: Self-register for Portal access Secure and easy-to-use internet Portal Maintain Provider information in the Portal NEW: Use Secure Correspondence NEW: Access Member-Focused Viewing View patient's eligibility information Request prior authorizations Use electronic claim submissions 4

5 On-line Provider Enrollment

6 On-line Provider Enrollment New Features Secure and easy-to-use wizard Upload supporting documents Save/Resume application function Submitted application status 6

7 On-line Provider Enrollment Start an application No need to log into the Portal 7

8 On-line Provider Enrollment 8

9 On-line Provider Enrollment Continue saved enrollment applications 9

10 On-line Provider Enrollment Enrollment application status 10

11 On-line Provider Revalidation

12 On-line Provider Revalidation New Features Secure and easy-to-use wizard Revalidate enrollment information Automatic prompting Upload supporting documents 12

13 Provider Portal Registration

14 Provider Portal Registration New Features Self-register users Utilize qualifiers Secure authentication 14

15 Provider Portal Overview

16 Provider Portal Overview Accessing the Portal Each service location has its own login. User ID Challenge Question Password 16

17 Provider Portal Overview Accessing the Portal User ID Challenge Question Password 17

18 Provider Portal Overview Accessing the Portal User ID Challenge Question Password 18

19 Provider Portal Overview What can I do from here? Update profile information Quick link to Provider Services NEW: Member-Focused Viewing Notify Me NEW: Secure Correspondence 19

20 Provider Portal Overview Stationary navigation elements Menu bar Contact Us, Frequently Asked Questions (FAQs) and Login/Logout links Page header Content area Broadcast messages 20

21 Provider Portal Overview 21

22 Provider Portal Overview 22

23 Provider Maintenance

24 Provider Maintenance New Features Update provider-specific information Upload supporting documents View profile changes Under Construction 24

25 Secure Correspondence

26 Secure Correspondence New Features Securely send inquiries Securely receive responses Submit Protected Health Information (PHI) through this function 26

27 Secure Correspondence 27

28 Member-Focused Viewing

29 Member-Focused Viewing New Features Member dashboard summary Quick links for claim and Prior Authorization (PA) requests 29

30 Member-Focused Viewing 30

31 Member-Focused Viewing 31

32 Eligibility Verification

Care assignment details View Right Choices Program (RCP details View Waiver Liability

33 Eligibility Verification What can I do from here? Verify member eligibility View coverage details View benefit limit details View Managed Care assignment details View Right Choices Program (RCP details View Waiver Liability details View Long Term Care (LTC)/Level of Care details View Demographic details View other insurance details (when applicable) 33

34 Prior Authorization Requests

35 Prior Authorization Requests New Features Upload supporting documents View PA request status Submit RCP referral requests 35

36 Prior Authorization Requests What can I do from here? Create authorizations View status of authorizations Add attachments Maintain Favorite Provider List Perform system updates Submit RCP Referrals 36

37 Prior Authorization Requests RCP referrals 37

38 Claim Submission

39 Claim Submission New Features Upload supporting documents Real-time submitted claim status 39

40 Claim Submission What can I do from here? Submit claims on-line View a claim s status instantly Add attachments View Remittance Advice for a claim View payment history 40

41 Next Steps

42 Next Steps What s to come Provider bulletins and banners Provider workshops Provider training: web and computer-based courses Provider surveys 42

43 Question and Answer Session

44 Question and Answer Session Questions Parking Lot items Other Portal-related items For more information If you have additional question, send an to: Providers will receive an acknowledgement within 48 hours. 44

45 Thank you

2 User Guide of Blackboard Mobile Learn for CityU Students (Android) How to download / install Bb Mobile Learn? Downloaded from Google Play Store

2 User Guide of Blackboard Mobile Learn for CityU Students (Android) Part 1 Part 2 Part 3 Part 4 How to download / install Bb Mobile Learn? Downloaded from Google Play Store How to access e Portal via