thh transition web page instructions 6-17-2013. | 2 welcome to the carecentrix transition process...
TRANSCRIPT
THH TransitionWeb Page Instructions
6-17-2013
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Welcome to the CareCentrix Transition Process
• Log on to the CareCentrix portal Logonhttps://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”
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Transition Video
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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
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Select your method of registration; Webpage
THH Providers:Web Page Registration is recommended.
***instruction manual is available here for download and support
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Enter your contact information
Needed for questions about your patientsNeeded for questions about your patients
To send your confirmations and authorizations ** E-mail
To send your confirmations and authorizations ** E-mail
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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 Search Enter a HCPC and click Search – all associated services will appear – simply choose the one you want
• Have more then one item to register for a patient - Click Save and Save and Add Another HCPC Add Another HCPC –
• Same As Previous Same As Previous – will allow the information previously entered for that patient to repopulate for that section
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Web Registration
• Is this Transition Health Plan the Primary Insurance Choose Choose YES or NOYES 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
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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
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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
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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
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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.
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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 [email protected]
• (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.
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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
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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