ProviderConnect Enhancements. January 2016

Transcription

1 ProviderConnect Enhancements January 2016

2 Agenda Services and Benefits of ProviderConnect ProviderConnect Enhancements Billing Updates Demographic Update Reminder Super User Functionality Forgot Password Additional Training Options 2

3 Services Verify member benefits and eligibility Request and view authorizations Submit claims and view status Request payment for EAP services Submit updates to provider demographic information Submit customer service inquiries View and print forms Download and print authorization letters Access Provider Summary Vouchers (PSV) Submit EAP case activity forms (CAF) Submit recredentialing applications Access ProviderConnect message center 3

4 Benefits Free and secure online application, available 24 / 7 Mobile Device friendly Quicker Payment Reduces paper files Reduces the need to call for routine information Mac and Windows compatible INCREASED CONVENIENCE, DECREASED ADMINISTRATIVE PROCESSES Disclaimer: Please note that ProviderConnect may look different and have different functionalities based on individual contract needs, therefore some functions may not be available or may look different for your specific contract. 4

5 E-Commerce Providers in the Beacon Health Options network are expected to electronically conduct all routine transactions, including: Submission of claims Submission of authorization requests Verification of eligibility inquiries Submission of recredentialing applications Updating of provider information Electronic fund transfer 5

6 ProviderConnect Stats Nine out of ten providers are satisfied with the functions they use in ProviderConnect 95% of providers submitting claims electronically are satisfied with the process ProviderConnect is one of the best insurance based websites that I have ever utilized. Everything a provider needs or may want is available on the one web site. Impressive! -Provider Testimonial 6

7 How to Access ProviderConnect Go to choose Providers Click on Login under ProviderConnect on the right side of the screen. Unregistered providers can self register using a provider ID number and clicking Register on the login screen. Multiple logons from same provider ID number available Contact Information: EDI Helpdesk Monday through Friday, 8:00 a.m. 6:00 p.m. ET Phone: e-supportservices@beaconhealthoptions.com 7

8 ProviderConnect Enhancements 8

9 ProviderConnect Enhancements ProviderConnect new look Current functionality remains the same 9

10 Billing Updates 10

11 Billing General Billing Updates Beacon Health Options must be the name on the claim Should also be listed on the claims mailing address Note: Some entities are not changing See list on upcoming slides ICD-10 diagnosis codes are required Billing by Batch or Clearinghouse Payer ID does not change 11

12 Entities Not Changing Name to Beacon Health Options At this time, there is no change to the following ValueOptions subsidiary entities: ValueOptions Federal Services, Inc. Value Behavioral Health of Pennsylvania, Inc. ValueOptions of Texas, Inc. ValueOptions of Kansas, Inc. ValueOptions of New Jersey, Inc. ValueOptions of California, Inc. Billing and all correspondence should continue business as usual 12

13 Entities Not impacted by Beacon Name Change The following partnership-owned companies and joint ventures are not impacted by the name change: Massachusetts Behavioral Health Partnership Colorado Health Partnership, Inc. Foothills Behavioral Health Partnership, Inc. Integrated Community Health Partnership, Inc. Northeast Behavioral Health Partnership, Inc. Billing and all correspondence should continue business as usual 13

14 Demographic Update Reminder 14

15 Demographic Update Features ProviderConnect allows providers to update various demographic data, such as: Phone number Fax number Mailing address address Office Hours In addition, providers can add and expire service and billing locations 15

16 Demographic Update Features 16

17 Demographic Update Features 17

18 Demographic Update Features 18

19 Demographic Update Features 19

20 Demographic Update Features 20

21 Demographic Update Features 21

22 Demographic Update Features 22

23 Demographic Update Features 23

24 Demographic Update Features 24

25 Demographic Update Features 25

26 Demographic Update Features 26

27 Demographic Update Features 27

28 Demographic Update Features 28

29 Demographic Update Features 29

30 Super User Functionality 30

31 Super User: Features Allows for one or more administrators to create and manage staff logins Designed for larger groups and facilities Access designed to improve security capability as required by HIPAA guidelines Types of user accounts: Super User Facility/Group Administrator Managed User Staff account administered by Super User Standard User Staff account administered by Beacon Health Options 31

32 Super User 32

33 Super User: Features 33

34 Super User: Features 34

35 Super User: Features 35

36 Super User: Features 36

37 How do I get a Super User Account? Go to Forms on the Provider Homepage and choose Administrative Forms Submit Online Services Account Request Form Page 1 Select Super User on the top right corner of page 1 Enter Managed User on page 2 that is different from the Super User Page 2 37

38 Forgot Password 38

39 Forgot Your Password? 39

40 User ID 40

41 Option 1: Answer Secret Question 41

42 Password Changed 42

43 Option 2: 43

44 Address 44

45 Message 45

46 Update Password 46

47 Additional Training Options 47

48 Helpful Resources On Valueoptions.com choose Providers Click on Helpful Resources under ProviderConnect on the right 48

49 Training Webinars Scheduled monthly Topics include: Authorizations, Claim Submission, Role-based security, Recredentialing, Viewing Patient Info, etc. Next webinar scheduled for Wednesday, January 20 th at 2:00 p.m. ET and will be titled An Overview of ProviderConnect Registration available by clicking Education Center from the Provider Homepage 49

50 Customized Training Scheduled at your convenience Available to just one employee or your entire office Training topics are customized based on your needs, timeframes, etc. 50

51 How-To Video Tutorials Short Video Tutorials: Viewing Member s Eligibility Viewing and Submitting Authorizations Direct Claim Submission Process Batch Claim Submission Process Re-credentialing 51

52 Contact Information EDI Helpdesk (ProviderConnect Technical Questions) Monday through Friday, 8:00 a.m. - 6:00 p.m. ET Phone: e-supportservices@beaconhealthoptions.com Provider Service Line (Training Requests) Monday through Friday, 8:00 a.m. 8:00 p.m. ET Phone: