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| Pointshare
Notice and Eligibility Options
Many of you have contacted
OneHealthPort about the recent Pointshare/Siemens
notice regarding service changes, especially
as to when OneHealthPort might be adding Washington
Medicaid eligibility and other payers to complement
our current list of participating payers. We
also received a number of questions about other
sources of eligibility data.
Due to systems changes
underway at Medical Assistance Administration
(MAA), which administers Washington Medicaid,
this information cannot be added to OneHealthPort
until 2007 at the earliest. We are currently
working with a number of payers, including Washington
Medicaid, to add eligibility to our trusted
community.
At this time, a number
of eligibility options are available in the
marketplace. As a public service, OneHealthPort
has listed some of these options below. These
offerings are presented strictly for your information;
OneHealthPort does not endorse any of these
services. Also, please note, some of these options
will require payment by providers to access
the information.
1. For an overview on
the enrollment, registration and site use for
Washington Medicaid direct access, click on
the tutorial link and tour the WaMed. http://fortress.wa.gov/dshs/maa/WaMedWebTutor/
2. Provider Advantage
has been serving the Pacific Northwest since
1991. To gain access to eligibility and benefit
data for Medicaid, Medicare, and other local
and national commercial health plans, contact
Customer Solutions at (800) 203-5465 or visit
the website at www.provider-advantage.com
to learn more.
3. HDXpress is the
replacement for the old Pointshare/Siemens
services. Information is available at https://www.hdx.com/Services/hdxpress.asp.
|
Quick
Tips for Subscribers: Forget Your Password? Need Help?
Here are few easy ways to make your job easier. If
you can not remember your password:
1. Click on the "Forgot Password?" link
to see if you have secret questions in the system
so you can reset your own password.
2. Ask your OneHealthPort Administrator to assist
you with a password reset by logging into their
Manage my administrator account link from the OHP
website.
OneHealthPort's Support Desk is open from 8 a.m.
- 5 p.m. Monday through Friday to assist with password
and registration problems. The Support Desk will
log problems and investigate concerns about system
outages 24 hours a day. Contact the Support Desk
at 1-800-973-4797 (toll free), email onehealthport@cybertrust.com
or fill out our online
form.
New!!
Easy Reference Sheet for Administrators Offers Best
Ways to Assist Users and Manage Your Account
What are the best ways to assist your users and manage
your account? Find out in OneHealthPort's NEW Administrators'
easy reference sheet. This new resource is available
at http://www.onehealthport.com/use_ohp/accounts.php
Print off a copy and keep it handy for quick reference.
For full detail on how to manage your OHP account
you can also access the Administrator's Guide online.
It's easy to access the Guide: simply click on "Manage
Your Accounts" in the top toolbar on the OHP
home page, then click on Manage
my administrator account to log in to the administrator's
menu. The Guide is on a link just below the menu.
Easier
Access to Premera Blue Cross
It is no longer necessary to go through the "Terms
of Use" page every time you login to the Premera
Blue Cross website through OneHealthPort. Effective
as of March 31, 2006, you will not be asked to agree
to terms, unless there is a change to the Agreement.
This means there is one less step to take to access
secure information from Premera Blue Cross. Premera
Blue Cross made this change based on feedback from
providers. Now accessing Premera is the same as for
all of OneHealthPort's other participating sites.
News
from Regence BlueShield
BLUEEXCHANGE OFFERS ACCESS TO NATION-WIDE
MEMBER ELIGIBILITY AND BENEFITS
Regence BlueShield now offers access to nation-wide
member eligibility, benefits and claims for Blue Cross
and/or Blue Shield, NASCO and Federal Employee Program
(FEP) members with BlueExchange.
BlueExchange is secure, HIPAA-compliant and available
from the home page on Regence Online Services. Select
either Eligibility or Claims
from the left-hand navigation under Other Blue
Plans. You will then be directed to The Health
Information Network (THIN) Web site to input your
patient's specific information.
- To check a member's eligibility and benefits, you
will need their name, birth date and ID number including
the alpha prefix.
- To check a member's claim, you will need the provider's
name and tax ID number; the member's name, birth date
and ID number including the alpha prefix; and the
claim's date(s) of service.
BlueExchange sends the inquiry to the member's home
plan, which in turn responds to BlueExchange with
the inquiry results. The results are available on
Regence Online Services within 75 seconds of submission.
"BY REPORT" CODES LIST UPDATED
ON PROVIDER INFORMATION SITE
The list of codes that require supporting documentation
is updated and available on the Regence BlueShield
provider information Web site at http://www.wa.regence.com/provider/claims/jobTools/.
In addition to the codes, the type of supporting documentation
that is required is also listed. You can provide supporting
documentation to Regence in one of two ways.
1. Send the original claim on paper with supporting
documentation
You can send the original claim on paper with the
required information attached. By using the "By
Report" list, you can identify those codes that
will always require additional information and proactively
send it Regence. You do not need to attach a Supporting
Documentation – Standard Cover Sheet form
with an original paper claim.
2. Use Supporting Documentation form when
requested on voucher
When supporting documentation is requested on your
payment voucher, use the Supporting Documentation
– Standard Cover Sheet available at http://www.wahealthcareforum.org/adminsimp/Claims_Process.
This form will ensure that the documentation you
submit is successfully attached to the right claim.
News
from Asuris Northwest Health
"BY REPORT" CODES LIST UPDATED ON
PROVIDER INFORMATION SITE
The list of codes that require supporting documentation
is updated and available on the Asuris Northwest Health
provider information Web site at http://www.asuris.com/provider/claims/jobTools/.
In addition to the codes, the type of supporting documentation
that is required is also listed. You can provide supporting
documentation to Asuris in one of two ways.
1. Send the original claim on paper with supporting
documentation
You can send the original claim on paper with the
required information attached. By using the "By
Report" list, you can identify those codes that
will always require additional information and proactively
send it us. You do not need to attach a Supporting
Documentation – Standard Cover Sheet form
with an original paper claim.
2. Use Supporting Documentation form when
requested on voucher
When supporting documentation is requested on your
payment voucher, use the Supporting Documentation
– Standard Cover Sheet available at http://www.wahealthcareforum.org/adminsimp/Claims_Process.
This form will ensure that the documentation you
submit is successfully attached to the right claim.
Get
Paid Faster! Submit Electronic Claims through Office
Ally
By submitting electronic claims through Office Ally,
your practice will be paid faster and you'll save
time. This FREE service gives you the ability to electronically
submit claims to over 500 health plans, including
the following OneHealthPort participating sites: First
Choice Health, Group Health Cooperative*,
Premera Blue Cross, Asuris Northwest Health, Regence
BlueShield, and Uniform Medical Plan (UMP).
It's easy to register for this free service by clicking
on "Office Ally" at www.onehealthport.com.
If you have questions or difficulty registering, call
Office Ally customer support at 949-464-9129.
*All Group Health products, including
Options, Alliant, Group Health Medicare and Medicaid,
can be billed electronically to Group Health cooperative.
Custom
Coder™ Free 30-Day Trial
Custom Coding Books has just launched a new web site
– www.customcoder.net
– where coders and clinic staff can easily purchase
and download a new series of customizable books. The
company is offering a 30-day free trial for any of
their Custom Coder™ products, all of which include
quarterly updates as well as a new feature: the ability
to search online for any code.
Their most basic product, the Procedural Custom Coder™,
sells for $99.95, and completely replaces the Coders
Desk Package, available in standard printed form for
$369.95. Similar savings are available on their five
other Custom Coder™ products. Their newest product,
designed for multi-specialty groups operating in multiple
states, sells for $399.95 and completely replaces
enterprise level coding and compliance research tools
normally sold for $899.95.
With CustomCoder™ products, coders can print
a customized book; use it offline as a searchable
document; or search for codes online.
Take
Advantage of Free Educational Webcasts
Are you new to OneHealthPort? Would you like to learn
about tips and shortcuts to get more from using OneHealthPort?
Maybe it's time to attend one of our free, hour-long
webcasts. It's easy to participate: all you need is
a computer with an Internet browser and a telephone
line (click
here for specific system requirements). You can
even invite a group of people from your office to
watch together at one computer with a speakerphone.
All of the following webcasts are presented
from noon to 1 p.m.
"How to Navigate Online Claims and Eligibility
Applications for Participating Healthcare Sites"
- Staff from Regence BlueShield, GroupHealth Cooperative,
Premera Blue Cross, First Choice Health and Uniform
Medical Plan will show you how to easily navigate
their site's online claim status and eligibility applications.
You'll also receive shortcuts to eliminate duplications
and speed up payment.
Wednesday, April 12
Wednesday, May 10
Wednesday, June 14
"Introduction to Office Ally and Electronic Claims
Submission" - If you currently providers currently
submitting paper claims, Office Ally offers the ability
to electronically submit claims to over 500 participating
health plans, including many of OneHealthPort's participating
sites. Learn how this free browser-based
service can simplify claims editing, routing and tracking
to many payers.
Wednesday, April 18
Thursday, May 18
Thursday, June 20
To register for any of these webcasts, click
here. You will receive a confirmation and then
an e-mail reminder the day before the webcast.