Getting Connected with Volunteer State Health Plan of Tennessee. First Broadcast: December 9, 2008 Second Broadcast: December 11, 2008
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1 Getting Connected with Volunteer State Health Plan of Tennessee First Broadcast: December 9, 2008 Second Broadcast: December 11,
2 Agenda Welcome and Introductions Overview of VSHPTN online functionality System demonstration Questions? 2
3 3
4 Online Resources BlueAccess Secure Area (accessible from VSHPTN.com home page click on register now and follow instructions) Check Eligibility View Claim Status Claim Submission Remittance Advice Real Time Claims Adjudication Real Time Patient Liability Information Provider Section - BlueAlert Newsletter Provider Administrative Manual Medical Policy 4
5 Online Resources cont d. ebusiness Section ebusiness User Guide Electronic Provider Profile Form pdf Approved Vendor List Bill Direct / Clearinghouse BlueCore Real Time Batch Eligibility Companion Guide and Front End Edits 5
6 Online Resources cont d. ProviderConnect Secure Area (accessible from home page Click on Providers Go to ValueOptions of Tennessee Click on Find out more Click on Register (follow instructions) Request Authorizations View Authorizations View My Practice Information Access and Print Forms 6
7 Online Resources cont d ValueOptions of Tennessee Cont d. Click on Network Specific Information Click on Tenncare Administration FAQs Clinical Clinical Criteria Forms Important Links 7
8 Online Resources cont d. All In Network providers will be able to obtain online registration per provider ID number via the website To obtain additional logons for ProviderConnect contact the ValueOptions EDI Helpdesk at (888) and press option 3, Monday thru Friday, 8a.m. 6 p.m. EST The TAT for additional logons is 48 hours 8
9 VO Provider Relations Staff Melissa T. Isbell Director of Provider Relations VO Cell (901) Annette Farmer-Dentley Regional Representative, Memphis/Shelby County 85 North Danny Thomas Blvd. Memphis, TN VO Cell: (901) Office: (901) Ella Bentley Regional Representative, Jackson/Rural West 51 Stonebridge Blvd. Jackson, TN VO Cell: (731) Marian Johnson Regional Representative, Upper East Jodi Bensley Regional Representative, Chattanooga /surrounding area 801 Pine St Chattanooga, TN VO Cell: (423) Sheila Waller Regional Representative, Memphis/Shelby County 85 North Danny Thomas Blvd. Memphis, TN VO Cell: (901) Office: (901) Bob Deatherage Regional Representative, Knoxville /surrounding area 6305 Kingston Pike Knoxville, TN VO Cell: (865)
10 Blue Access Main Menu 10
11 e-health Services Main Page 11
12 Patient Inquiry 12
13 Patient Inquiry (Page 2) 13
14 Patient Inquiry (Page 3) 14
15 Patient Inquiry (Page 4) 15
16 Patient Inquiry (Page 5) 16
17 Patient Inquiry (Page 6) 17
18 Patient Inquiry (Page 7) 18
19 Claim Center 19
20 Claim Center (Page 2) 20
21 Claim Center (Page 3) 21
22 Claim Center (Page 4) 22
23 Remittance Advice Search 23
24 Real Time Claims Adjudication 24
25 RTCA Patient Liability 25
26 e-business Solutions Regional Marketing Consultants East Tennessee: Patty Stroupe Manager Phone: (423) Greater Chattanooga Area: Faye Mangold Phone: (423) Middle Tennessee: Heather Miller-Blackman Phone: (615) West Tennessee: Debbie Angner Phone: (901)
27 Getting Connected to Volunteer State Health Plan of Tennessee System Demonstration 27
28 Getting Connected with Volunteer State Health Plan of Tennessee Questions? 28
29 Getting Connected with Volunteer State Health Plan of Tennessee Thank you! Please remember to complete your evaluation forms 29
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