Service Provider User Manual - Encompass
Contents
1. Service Provider User Manual Prepared by PCE Systems 29592 Northwestern Highway Southfield MI 48334 WASHTENAW COMMUNNITY HEALTH ORGANIZATION Administrative Website Manual Table of Contents Section 1 Logging Into and Out oftheSystem 00000000 eee eeeeseeeesseeseseressssessze 4 Leonie Into the Syste ini saian alay aa k E akay ali ilyas AIET 4 WinCE oro Niye PESON kli aleni idi ia in anla ak salmak gelse laser 5 TsO ODIO Ouro UNS DV STEM elle olen elman same isa OTTENE 7 Section 25 Navication BULLS silis aleiikade kii mandi E E 8 Section 9 Consumer nfo rialli sia sabi sakli mano sa EER 9 View Ons ei Deora PICS e ed lal E mmi 9 View Consumer Person CenteredPlanandPlanGoal5 10 View Consumer Supported Living BUG Gt aaa Saime dana s olamanlamodonakam sas olda 12 Section 4 Authorizations and Claims Submission 000000000000000000000000eeseeesee 14 View IO 17 Gy e a almamaya Ay cam e laaan 14 e De a Gm eee KRE e ata vet tes ar eee e e eee KR Ae 15 Tonda HE FA e 0 e a E a e eee 15 aE IT 20 e m e lele eli ee A Sa tate n el 18 Usine the Dinenosis Code Lookup Buttons ani eee ai e nala ile 20 Chin Batch Review and send tor 66 pro yal kak dalak mla alba Salam s k sale unla asl mai 21 SECHON S Provider Stall Directory asar m Osmanli selama bili dedusayl 23 YA ae ari e e e e e e e Yk ve 23 Pad aeotale Member COMAE eeri E E EA 242. iii CO File Edit View Favorites Tools Help Mo TRAINING MOD En Ompass washtenaw community health organization Back Home Logout l Help El messages Contact List Provider AdNress te Test SA Provider of Michigan 12445 Second SA Street Phone Fax STUY Bore 734 2223 5656 734 2223 7878 PTL alli tL Person Name Type any part of theNast or first name SEARCH 1 Matched Name Phone Status Add Contact Peter Parker SA 313 902 2345 Active Change Delete View E TIME OUT IN 59 Minutes 9 Seconds A Internet F e Enter the following information about the Staff Member Name Contact Information phone fax numbers and email address Job Information department job title hire date and job functions ORR Training dates of initial and last OOR training dates O O e oO Credentials Use the drop down menu to select educational degree discipline and billing type 24 o License Use the drop down menu to select license type enter the license number license name State and expiration date o User ID Enter the Staff Members User ID Once all of the Staff Member information has been entered click the SAVE Button The new Staff Member will now appear in the directory and a User ID has been added 25 Section Performance Improvement Network Indicators Step 1 Click on Performance Indicator button o TRAINING MODE En ompass washtenaw com muyHitv heal
3. locate the o SEARCH consumer TIME OUT IN 59 Minutes 46 Seconds g Internet P 12 e Click the Select link to the right of the Consumer s name Select a Consumer Microsoft Internet Explorer l lol x File Edit View Favorites Tools Help Mo TRAINING MODE En ompass washtenaw community health organization Back Home Logout Help messages Select a Consumer Please type in consumer s last name and first initial and press SEARCH to locate the consumer You may wish to use partial name if you are not sure SSE das oj line WCHO Consumer ID Social Security No If you cannot find the consumer by name you may type in any other available data to locate the SEARCH consumer Consumer Last Name Consumer First Name AKA or Other Information 1 Consumers Last Name FirstName WCHO Consumer ID CSTS Case Social Security Birth Date Doe John ii 123 45 6789 01 01 2001 Select TIME OUT IN 59 Minutes 55 Seconds Internet Z e A list of the Supported Living Budgets will be displayed click the View link to view the budget in it s entirety lolx e TRAINING MODE ERDpas washtenaw community health organization Back Home Logout Help eimessages Supported Living Budget List E Supported Living Budget List Microsoft Internet Explorer File Edit view Favorites Tools Help Consumer Name Consumer ID SSH Caset Bit Doe John 11 1123 45 6759 i Add
4. 00001266 John Doe 09 01 2003 09 30 2003 Authorized View Auth Add HCFA 1500 Add UB 92 2 Claims EE Claim Total te Le eat sin Consumer Auth Service Date Range Charges Status Client Allowed Number HCFA 1500 000032 DOE JOHN 200300001265 06 01 2003 130 00 Change Delete 000005 Ready 06 30 2003 00 View svcprvsa ee l l UB 92 000033 DOE JOHN 200300001266 09 01 2003 110 00 Change Delete 000006 Ready 09 30 2003 00 View svcprvsa i E e TIME OUT IN 55 Minutes 54 Seconds ii fe D Internet 7 19 e You may change or delete claim until it is sent to WCHO for approval adjudication and payment Using the Diagnosis Code Lookup Button e Click on the Lookup button e Search for the diagnosis code by entering the partial name of the diagnosis and click the SEARCH button For example to search for a depression diagnosis type depre in the field provided see below E Select Diagnosis Code Microsoft Internet Explorer f o x Select Diagnosis Code Keyword depre Search Click here to do a Structured Search Description e Any diagnosis matching the keyword will appear use the Previous and Next links to change pages Once you have found the correct diagnosis click the Select link to the right of the diagnosis information Select Diagnosis Code Microsoft Internet Explorer Keyword depre Click here to do a Structured Search 46 Codes Code Description 290 13 Presenile dementi
5. 3 Authorized Wiew Authi Add HCFA 1500 Add UB 92 0 Claims Claim Type Claim Number Status Client Number Total Charges Consumer Auth Allowed we Date Range To Add a HCFA 1500 e Click on the Add HFCA 1500 link to the right of the authorization you wish to submit a claim against 15 e Use the drop down menu to select the batch that this claim will belong to If you do not wish to include this claim is a batch at this time select PEND CLAIM from the drop down menu 2 Add HCFA 1500 Claim Form Microsoft Internet Explo er Ele Edt view Favortes Teos Hep AOOO I Wo TRAINING MODE En mpas washtenaw commyfnity health organization Back Home Logo messages Add HCFA 1500 Claim Form Invoice Batch NEW BATCH gt NEW BATCH PEND CLAIM 4a_Insured s 1D Number hd B meme TIME OUT IN 59 Minutes 39 Seconds e Enter the received date 2 Add HCFA 1500 Claim Form Microsoft Internet Explorer File Edit View Favorites Tools Help Wo TRAINING MODE En ompass washtenaw community health organization Back Home Logout Help messages Add HCFA 1500 Claim Form Invoice Batch NEW BATCH Received Date 9 30 2003 4a_iInsured s 1D Number hd Internet A TIME OUT IN 57 Minutes 55 Seconds e Scroll to the bottom of the screen and enter the diagnosis You may type in the diagnosis code or use the lookup button to sea
6. A TIME OUT IN 57 Minutes 27 Seconds A Internet F 11 View Consumer Supported Living Budget e Click on View Supported Living Consumer Budget i Service Provider Menu Microsoft Internet Explorer ioj x Mo TRAINING MODE En ompass washtenaw community health organization Home Logout Help messages Service Provider Menu oviders of Michigan Inc Change Password View Consumers View consumers that are authorized for services by this provider View Person Centa Plans PCP and Goals view consumer s person centered plans and goals myPage xi TIME OUT IN 58 Minutes 33 Seconds Internet dg e Search for the Consumer you may enter a partial name such as the first three letters of the last name and the first initial and then click the SEARCH button Consumer List Microsoft Internet Explorer loj x File Edit View Favorites Tools Help Mo TRAINING MODE En Qmpass washtenaw community health organization Back Home Logout Help gimessages Consumer List Please type in consumer s last name Consumer Last Name Consumer First Name AKA or Other Information and first initial and press SEARCH to F l lacate the consumer You may wish to ol use partial mame if you are not sure f i f about the spelling Consumer ID Social Security No Birth Date mmddyy If you cannot find the consumer by mame you may type in any other CSTS Case available data to
7. Section 6 Performance Improvement Network Indicators e essseeseseseeesecoseeoseecsseeees 26 Section Logging Into and Out of the System Logging Into the System e Open Internet Explorer e In the address box type in http www ewcho org and press Enter on your keyboard The following screen will be displayed 2 Main Microsoft Internet Explorer D x File Edit View Favorites Tools Help washtenaw community health organization Help enaw Community Health nization Please enter your login ID and password i User Name is site is limited to p d m enaw County Health i Personnel and Login ates and providers tt empt to access the I forgot my password is prohibited Washtenaw County Health Organization monitors and logs the activities of this web site By accessing this web site you are expressly consenting to these monitoring activities Unauthorized attempts to access obtain alter damage or destroy information or otherwise to interfere with the system or its Operation are prohibited and recorded by the Authority This site is best viewed and operated with version 5 0 or higher of Microsoft Internet Explorer B e Done m Local intranet gt e Enter your User Name and Password and then click the Login button Please note o The first time you access your account your password will be the same as yout User ID You will be prompted to change your password o When changin
8. a with depressive features 290 21 Senile dementia with depressive features Select 290 43 Arterioscleratic dementia with depressive features Select 292 84 Drug induced organic affective syndrome select 296 20 Major depressive disorder single episode unspecified select 296 21 Major depressive disorder single episode mild select 296 22 Major depressive disorder single episode moderate select 296 23 Major depressive disorder single episode severe without mention of select psychotic behavior 296 24 Major depressive disorder single episode severe specified as with psychotic select behavior 296 25 Major depressive disorder single episode in partial or unspecified remission select PREVIOUS Page 1 of 5 NEXT gt CLOSE 20 Claim Batch Review and Send for Approval e Click on Claim Batch Review and Send for Approval i Service Provider Menu Microsoft Internet Explorer B x e TRAINING MODE En ompas Washtenaw community health organization Home Logout Help amp messages Service Provider Menu View Authorized Service amp and Enter Claims ya view authorized service and enter claims myPage aim Batch Review and Send for Approval potion will list batches in the datg e where you can a review the batches and send the batch to the approver when ready izl TIME OUT IN 56 Minutes 33 Seconds A Internet E e Any existing batches that have not been sent to WCHO f
9. cial Security No Birth Date mmddyy doe If you cannot find the consumer by name you may type in any other CSTS Case available data to locate the tw SEARCH CONSUME bd TIME OUT IN 59 Minutes 46 Seconds Internet Z e Click the PCP link to the right of the Consumer s name E Select a Consumer Microsoft Interne Explorer File Edit View Favorites Tools Help Address 2 https fw pcesecure com cgi bin WebObjects VNNQ4AdminTest woall fwofwe2lntgyImCmdogy JobkHOs1 5 17 1 0 1 0 e TRAINING MODE En ompass washtenaw community health organization Back Home l Logout Help E messages Select a Consumer name you may type in any other available data to locate the SEARCH eee SEARCH 1 Consumers Last Hame First Name WCHO Consumer ID CSTS Case Social Security Birth Date Doe John 11 123 45 6 89 01 01 2001 Ez e A list of all of the Person Center Plans is displayed o Usethe View link to view the PCP o Use the PCP Goals link to view a list of the PCP Goals for the PCP o Use the Print link to print the PCP and PCP Goals fo TRAINING MODE En Qmpas washtenaw community health organization Back Home Logout Help amp messages PCP Face Sheet List O Consumer Hame Consumer 55H DOB Gender Doe John 11 123 45 6 789 01 01 2001 Male 3 PCP s Meeting Date Meeting Location Staff Assigned 08 01 2003 client home PCE Clinician View PCP Goals Print
10. e First Name WCHO Consumer ID CSTS Case Social Security Birth Da Doe John 11 l 23 45 6759 01 01 2001 El TIME OUT IM 59 Minutes 52 Seconds Internet F e The Consumer s demographic information is displayed Use the scroll bars on the right side of the screen to move through the data View Consumer Person Centered Plan and Plan Goals e Click on View Person Centered Plan PCP Service Provider Menu Microsoft Internet Explor 2r 0 x File Edit View Favorites Tools Help SHAdminT est woald fwofweelntgyImCmdoOy JobkHoli4 3 7 0 0 eGo e TRAINING MODE En ompass washtenaw community health organization Home l Logout l Help E messages Service Provider Menu PY est Providers of Michigan Inc El TIME OUT IN 59 Minutes 21 Seconds internet F 10 e Search for the Consumer you may enter a partial name such as the first three letters of the last name and the first initial and then click the SEARCH button i Consumer List Microsoft Internet Explorer File Edit View Favorites Tools Help Mo TRAINING MODE En ompass washtenaw community health organization Back Home Logout Help eimessages Consumer List Please type in consumer s last name Consumer Last Name Consumer First Name AKA or Other Information and first initial and press SEARCH to locate the consumer You may wish to Use partial name if you are not sure about the spelling Consumer ID So
11. ee letters of the last name and the first initial and then click the SEARCH button Consumer List Microsoft Internet Explorer yg 0 x File Edit View Favorites Tools Help M0 TRAINING MODE washtenaw community health organization Back Home Logout Help E messages Consumer List Flease type in consumer s last name eee Consumer Last Name Consumer First Hame AKA or Other Information and first initial and press SEARCH to i locate the consumer You may wish to doe Use partial name if you are not sure about the spelling Consumer ID Social Security No Girth Date mmddyy If you cannot find the consumer by mame you may type in any other CSTS Case available data to locate the o consumer ba TIME OUT IN 59 Minutes 46 Seconds B g Internet Z e Click the View link to the right of the Consumer s name lt Consumer List Microsoft Internet explorer l x e TRAINING MODE EA mpes Washtenaw community health organization Back Home Logout Help Simessady Consumer List Please type in consumer s last name and first initial and press SEARCH to locate the consumer You may wish to Use partial name if you are not sure about the spelling WCHO Consumer ID Consumer Last Name Consumer First Name AKA or Other Information Social SSqurity Ho If you cannot find the consumer by name you may type in any other available data to locate the consumer 1 Consumers Last Nam
12. elds to reflect your changes click the button below Update Calculated Fields Quarter 1 Satisfaction with Services Provided reported annually Data due April 30 2004 of Surveys of Surveys Response Rate Satisfaction Rate Distributed Collected calculated from Satisfaction Survey Compilation Form 20 fi A 75 40 00 Community Integration reported quarterly 2nd ord 4th 1st Quarter Quarter Quarter Quarter of consumers served this quarter S Target of group activities per quarter Il Actual of group activities for the quarter Target of consumer chosen activities per Quarter Actual of consumer chosen activities for the quarter TT Staff Retention reported quarterly 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter of staff working 6 months or more 4 Total of staff fio Percentage of staff working 6 months or more calculated Discussion of Network Indicators We gawe our satisfaction surveys October 15 2004 Our satisfaction rate was 905 This is the area the provider should discuss any questions that scored lower than the target The provider should also include any plans to improwe Scores on those questions over the next year 28 Step 5 Click on the Update Calculated Fields button at the top of the page Mo RAINING MODE Washtenaw community health organization En mpass Back Home Logout Hip eimessages Change Performance Indicators Provid
13. elect PEND CLAIM from the drop down menu Enter a received date i Add UB 97 Claim Form Microsoft Internet Explorer l E oj x File Edit View Favorites Tools Help Mo TRAINING MODE En ompass washtenaw community health organization Back Home Logout Help Simessages Add UB 92 Claim Form Batch Number Received Date OOOO nie vi ue 3 PATENT CONTROL NO 4 NEW BATCH PEND CLAM VIDER OF MICHI 123456789 ae 7 Te I i imemt Z TIME OUT IN 59 Minutes 38 Seconds e Scroll down enter the detail lines for the claim If you need more detail lines click the Add More Lines link Add UB 92 Claim Form Microsoft Internet Explorer O x File Edit View Favorites Tools Help CG TRAINING MODE En ompass washtenaw community health organization Back Home Logout l Help 2 messages Add UB 92 Claim Form he REY CD ha DESCRIPTION ha HCPCS RATES is SERV DATE he SERY UNITS h7 TOTAL CHARGES he NON COVERED CHARGES hs 10 00 TIME OUT IN 57 Minutes 10 Seconds O Internet F 18 e Continue to scroll down enter the Consumer s diagnosis code You may type in the diagnosis code or use the lookup button to search the diagnosis code database Please see the end of this Section to see further instructions on using the lookup button Add UB 92 Claim Form Microsoft Internet Explorer Bll xj File Edit View Favorites Tools H
14. elp CG TRAINING MODE washtenaw community health organization Back Home Logout Help Simessages Add UB 92 Claim Form Or _ 4 3 TREATMENT AUTHORIZATION CODES 65 EMPLOYER S NAME 36 EMPLOYER LOCATION 200300001266 E 7 PRIN DAG CO Es CODE ba CODE Fo CODE Fa CODEF CODES CODE CODERS CODE FE ACK DAG corr E CODE Ba PRINCIPAL PROCEDURE Ea OTHER FROCEDURE OTHER PROCEDURE r A i l PPR pm r9 PC CODE DATE CODE DATE CODE DATE 2 ATTENDING PHYSICIAN ID Last First MI Cred Pee E OTHER FROLEDURE OTHER FROCEDURE OTHER PROCEDURE B3 OTHER FHYSICIAN ID canFE nate Tone Ate cone DATE TIME OUT IN 54 Minutes 53 Seconds Internet F e Once all of the information has been entered click the SAVE button e The Claim is now displayed If you indicated that this claim is part of a new batch the system will assign a batch number to the claim 2 Claim Entry Microsoft Internet Explorer File Edit View Favorites Tools Help fo TRAINING MODE washtenaw community health organization Back Home Logout Help messages Claim Entry Provider Address Test SA Provider of Michigan 12345 Second SA Street 734 2223 5656 734 2223 7878 an Arbor MI 48123 2 Authorizations Authorization Consumer Name Service Date Range Status 200300001265 John Doe 06 01 2003 06 30 2003 b Authorized View Auth Add HCFA 1500 Add UB 92 2003
15. er Address Adult Learning Systems 1954 South Industrial Hwy fet Phone Fax Pass A Je 734 668 7447 734 468 2772 Ann Arbor MI 48104 Site No 416 ma Smmm Some fields on this form Kkontain calculated data To update these fields to reflect y changes click the button below Update Calculated Fields Step 6 Click the save button on the bottom of the page Quarter 1 Discussio of Network Indicators We gawe pur satisfaction surveys October 15 z004 NE Satisfaction rate was Is is the area the provider should discuss any questions that scored lower tan the target The provider should also include any plans to improve On those questions over the next year Recgrd Added Record Changed lar 03 31 2004 10 26 31 SAVE CANCEL Back Home 29 Contract Name Cont act Number Effective Expiration Dates Licensed Setting ALS 35962 10 01 2003 09 30 2004
16. f you re still having problems please contact WCHO System Administrator at 734 555 1212 Continue The second half of the password will be sent to your email account From PasswordRetrieval pcesystems com Sent Fri fif2003 11 16 AM To cmiler prcesystems com Ce Subject Your temporary Password The second part of your temporary password is edda If you are still having problems please contact WHO system Administrator at Vad 5585 lel1le2 eee THIS I3 AN AUTOMATED MESSAGE PLEASE DO NOT REPLY Logging Out of the System Always log out of the system before shutting down the browser a log out is also necessary when you leave your computer unattended Logging out prevents unauthorized Users from entering the Administrative System e Click on the Logout button i Call Tracking Microsoft Inte enet Explorer b 0 x aiy Hae i 7 washtenaw community health organization ras Ag o ws Home Help Emessages Call Tracking E The following screen will be displayed fo washtenaw community health organizatlon You have successfully logged out from WCHO Clio here Yi tum to WCHO s login page If you wish to return to the login screen click the here link It is now safe to close your browset Section Navigation Buttons When using the WCHO Administrative system DO NOT use your browset s back button Only use the navigation buttons provided by the system t
17. g you password you will provide the answer to two security questions what is your birth date and what are the last four digits of your Social Security Number The answers to these questions will be used if you forget your password o After three unsuccessful login attempts your account will be locked and you will have to call the Help Desk to have it unlocked What If Forget My Password If you have forgotten your password click on the 7 forgot my password link on the log in screen i Main Microsoft Internet Explorer File Edit View Favorites Tools Help washtenaw community health organization Help Ime to Washtenaw Community Health Organization Please enter your login ID and password User Name Password ganization Personnel and Unauthorized attempt to access the I forgot my password o system is prohibited Washtenaw County Health Organization monitors and logs the activities of this web site By accessing this web site you are expressly consenting to these monitoring activities Unauthorized attempts to access obtain alter damage or destroy information or otherwise to interfere with the system or its operation are prohibited and recorded by the Authority This site is best viewed and operated with version 5 0 or higher of Microsoft Internet Explorer pi Da Local intranet A e Enter your User ID and Email address in the fields provided and then click the Continue b
18. hat is those below the red line Caller List Microsoft Internet Explorer File Edit View Favorites Tools Help NaN b i fal Gi Search Bej Favorites media Ed Sh Sh a ade EE http fpceweblOO cgi binWebObjects WSsHAdmin woal4 wofHlEkktexvBMOgef kLissw 11 5 14 0 0 1 0 willy 7 ei washtenaw community health organization Stet ee 111 Back Home Logout Help messages Caller List for Local intranet e TIME OUT IN 59 Minutes 44 Seconds Back Click on the back button to go to the previous page DO NOT USE YOUR BROWSER S BACK BUTTON Home The home button will always take you back to the main page Logout Click on the logout button to exit the system Help Click on the Help button to access this User Manual online Use the Lookup button to access database for Providers Consumers and Staff in accordance with the screens Section Consumer Information View Consumer Demographics e Click on View Consumers i Service Provider Menu Microsol Internet Explorer loj x Mo TRAINING MODE Washtenaw community health organization Home Logout Help l JEessages Service Provider Menu View Consumers Lalenin that are authorized for services by this provider Change Password Kl TIME OUT IN 59 Minutes 12 Seconds 2 Internet A e Search for the Consumer you may enter a partial name such as the first thr
19. ling Name and Address TEST SA PROVIDER OF MICHI TEST SA PROVIDER OF MICHI 12345 SECOND 5A STREET 12345 SECOND SA STREET ANN ARBOR MI ANN ARBOR MI 734 2223 5656 PIN GRP Comments SAVE CANCEL TIME OUT IN 49 Minutes 22 Seconds Internet A e Once all of the claim information is entered click the SAVE button e The Claim is now displayed If you indicated that this claim is part of a new batch the system will assign a batch number to the claim Ge TRAINING MODE 7 e washtenaw community health organization Back Home Logout Help amp imessages Claim Entry Provider Address Test SA Provider of Michigan 12345 Second SA Street Phone Fax Suite 345 734 2223 5656 734 2223 7878 ste di oi 2 Authorizations Service Date Range Status O 06 01 2003 06 30 2003 Authorized View Auth Add HCFA 1500 Add UB 92 09 01 2003 09 30 2003 Authorized View Auth Add HCFA 1500 Add UB 92 1 Claims Service Date Range HCFA 1500 000032 DOE JOHN 200300001265 06 01 2003 130 00 Change Delete 000005 Ready 06 30 2003 00 View svcprvsa E e You may change or delete claim until it is sent to WCHO for approval adjudication and payment Add a UB 92 e Click on the Add UB 92 link to the right of the authorization you are entering a claim against e Use the drop down menu to select the batch that this claim will belong to If you do not wish to include this claim is a batch at this time s
20. ools Help Mo TRAINING MODE En ompas washtenaw community health organization Back Home Logout Help Smessages Invoice Batch List Invoice Batches Ready Batch Number Batch User Batch Date Claims WERE ELD Allowed oo0006 svcporysa 09 27 2003 1 110 00 York With Batch Send for Approval 0 00 000005 svcprvsa 09 27 2003 1 130 00 VYork With Batch Send for Approval 0 00 Back Home TIME OUT IN 59 Minutes 49 Seconds nternet E e Click on the Send for Approval link to send the batch to WCHO for approval adjudication and payment 22 Section Provider Staff Directory The Provider Directory is a list of the Provider s Staff members that have access to the Encompass system System Administrators will use the Staff Directory to add additional Users to the database View Staff Directory e Click on Provider Staff Directory E Service Provider Menu Microsol Internet Explorer A n x e TRAINING MODE En ompas washtenaw community health organization Home Logout Help B messa es Service Provider Menu 7 the pended bills back to an active batch myPage Complete Batch List View a list of all batches regardless of current status This option can poking up historical claims myPagz Saturday September 27 2003 11 43 AM Eastern Time Peter Parker SA ad TIME OUT IN 59 Minutes 52 Seconds A Internet F e A listing of the Provider Staff Membe
21. or approval will be displayed 44 Invoice Batch List Microsoft Internet Explorer File Edit View Favorites Tools Help e TRAINING MODE En ompas Washtenaw community health organization Back Home l Logout l Help E messages Invoice Batch List Invoice Batches Ready Batch Number Batch User Batch Date Claims Wiz iler Allowed 000006 svcprysa 09 27 2003 1 110 00 Work With Batch Send for Approval 0 00 000005 svcprvsa 09 27 2003 1 130 0 Work With Batch J Send for Approval 0 00 Back Home TIME OUT IN 59 Minutes 49 Seconds i Internet e To view the claims that are included in the batch click on the Work with Batch link e A listing of all the claims included in the batch will be displayed Use the Change or Delete links to edit or remove the claims Back Home Logout Help eimessages Batch Claims List 000005 Batch Number Batch Status Batch User Total Billed Total Paid OoOoo005 Ready Ssvcormsa 130 00 00 1 Claims Claim Consumer Total i S eee Provider Name Service Date Range Billed Likh yp Consumer ID Allowed smi aii nia mm Claim HEF A 000032 TEST SA PROVIDER DOE JOHN 06 01 2003 130 00 Change Delete 1500 OF MICHIGAN 1235456789 06 30 2003 00 View 21 e Once the claims have been reviewed click on the BACK button to return to the send approval screen i Invoice Batch List Microsoft Internet Explorer File Edit View Favorites T
22. rch the diagnosis code database Please see the end of this Section to see further instructions on using the lookup button Add HCFA 1500 Claim Form Microsoft Internet Explorer Wo TRAINING MODE En Ompass washtenaw community health organization Back Home Logout Help EBmessages Add HCFA 1500 Claim Form 21 TE 22 Medicaid Resubmission Original Reference No aj of a eku Code 23 Prior Authorization Number E gt eku a esku 200300001265 Eyy pm PE E ae B TIME OUT IN 52 Minutes 39 Seconds g Internet 7 16 e Continue to scroll enter the detail lines If you need additional detail lines click on the Add More Detail Lines Add HCFA 1500 Claim Form Microsoft Internet Explorer O x File Edit View Favorites Tools Help fo TRAINING MODE washtenaw community health organization Enlompass Back Home Logout Help eimessages Add HCFA 1500 Claim Form al Add More Detail Lines aS GN BTS ae a Fe Re aS RE IG EE ST on e F e an ome Ba me at CPT HCPCS O gt Use EE fa a k peoa Ez ci mn nm O mmm a a EEE po ri mn a mm S S S peaz frv a O po a G mm n SS S S 25 Tax ID TT Patient Account No 27 Accept Assignment 28 Total b m Amount Paid 7 Balance Due C ssn ern 123456789 ves C No 0 bo 34 e of Physician or Supplier 32 Name and address of Facility 33 Bil
23. ress Home Phone Date of Birth Gerder my 1234 main 468 456 5289 01 01 2001 Malf southfield MI 12345 1 Records Effective Date Expiration Date Total Client Budget 10 01 2003 12 31 2003 2 989 61 TIME OUT IN 58 Minutes 48 Seconds internet gt 13 Section Authorizations and Claims Submission View Authorizations e Click on View Authorized Services and Enter Claims Service Provider Menu Microsoft Internet Explorer _ O x eo 2 B ee Mo TRAINING MODE En ompas washtenaw community health organization Home Logout Help E messages Service Provider Menu E View Authorized Services and Enter Claims eT claims myPage Claim Batch Review and Send for Approval This option will list batches in the data entry stage where you can gt review the batches and send the batch to the approver when ready sl TIME OUT IN 56 Minutes 33 Seconds A internet E e A list of all authorizations is displayed z Claim Entry Microsoft Internet Explorer File Edit View Favorites Tools Help e TRAINING MODE En ompas washtenaw community health organization Back Home Logout l Help El messages Claim Entry Provider Address Ye Test SA Provider of Michigan 12345 Second SA Street Phone Fax Suite 315 734 2223 5656 734 2223 7878 Aai Anaa MI eiza 2 Authorizations Authorization Consumer Hame Service Date Range Status 200300001265 John Doe 06 01 2003 06 30 2003 Au
24. rs with access to Encompass will be displayed fe TRAINING MODE Empa washtenaw community health organization Back Home Logout l Help El messages Contact List Provider Address x se Test SA Provider of Michigan 12345 Second SA Street eae Phone Fax Suite 345 734 2223 5656 734 2223 7878 Ann Arbor MI 48123 Person Name Type any part of the last or first name SEARCH 1 Matched Name Phone Status e ng Peter Parker SA 315 902 2345 Active ee mmm Vip 23 e Click on the View link to view the details of the Staff Member such as licensing and credentials Add a Staff Member Contact e Click on Provider Staff Directory Service Provider Menu Microsolt Internet Explorer S _ Oj x KG TRAINING MODE EnGmpass washtenaw community health organization Home Logout Help messages Service Provider Menu the pended bills back to an active batch myPage Complete Batch List eae p View a list of all batches regardless of current status This option can poking up historical claims MyPage Saturday September 27 2003 11 43 AM Eastern Time Peter Parker SA ad TIME OUT IN 59 Minutes 52 Seconds A internet F e To avoid entering a duplicate record search the Staff Member database before adding a new Staff record If your search does not return any results it is safe to enter a new record click on the Add Contact link i Contact List Microsoft Internet Explorer 15 x
25. th organization Home Logout Help Emessa es Clinical Informatlon Clinical Information View Consumers _ Authorization View consumers that are authorized for services by this provider imen man View Substance Abuse Referral Forms SARF change Boeeuward gt Work with substance abuse referral forms SARF MyPage E idol User Guidelines Complete Substance Abuse Admission Forms v View Screening and Assessment Records p View Consumer Screening and Assessment Records myPage 26 Step 2 Click on Performance Improvement Network Indicators to submit Performance Improvement Data TRAINING MODE En ompass e washtenavssommunity health organization Performance Indicator Home Logout Help E messages i Clinical Information Authorization _ Claim Processing Performance Indicator Incident Reports Step 3 Choose the quarter you wish to update 1 2 3 or 4 Click on the quarter you are updating 1 Performance Indicators Contract Form Effective amp Expiration Date 35962 Licensed Setting ALs Licensed Settings 10 01 2003 09 30 2004 Update G4 Update G3 Update G4 24 Step 4 Fill out all required fields data and discussion TRAINING MODE En ompass washtenaw community health organization o Back i Home Logout Help amp messages Change Performance Indicators Some fields on this form contain calculated data To update these fi
26. thorized View Auth Add HOFA 1500 Add UB 92 200300001266 John Doe 09 01 2003 09 30 2003 Authorized View Auth Add HOFA 1500 Add UB 92 0 Claims Claim Type Claim Number Total Charges Status Client Number Consumer Auth Service Date Range Allowed 14 Submit Claims e Click on View Authorized Services and Enter Claims i Service Provider Menu Microsoft Internet Explorer B x File Edit View Favorites Tools Help e TRAINING MODE En ompas washtenaw community health organization Home l Logout Help Emessages Service Provider Menu Claim Batch Review and Send for Approval This option will list batches in the data entry stage where you can gt review the batches and send the batch to the approver when ready al TIME OUT IN 56 Minutes 33 Seconds A Internet E e A list of all authorizations is displayed E Claim Entry Microsoft Internet Explorer File Edit View Favorites Tools Help e TRAINING MODE En ompass washtenaw community health organization i Back Home Logout l Help Bmessages Claim Entry Provider Address E e Test SA Provider of Michigan 12345 Second SA Street Phone Fax Suite 345 734 2223 5656 734 2223 7878 A Gi MUL a 2 Authorizations Authorization Consumer Name Service Date Range Status 200300001265 John Doe 06 01 2003 06 30 2003 Authorized View Auth Addi OO Add B 92 200300001266 John Doe 09 01 2003 09 30 200
27. utton i Main Microsoft Internet Explorer File Edit View Favorites Tools Help da Back E3 fat Search Gaj Favorites eMedia dj Er og B washtenaw community health organization Help l Primary Information Flease identify yourself by answering the following questions What is your user 1D pce_clare What is your email address cmiler pcesystems com cance hd E ii BE Local intranet 2 e Enter the answer to the Security Question in the field provided and then click the continue button File Edit View Favorites Tools Help lt a Back p i fat search Favorites Meda 64 E Gg washtenaw community health organization Help Security Questions Please verify your identify by answering the following security questions What is your date of birth What are the last 4 digits of your social eae number Continue Cancel The system will provide you with the first half of the temporary password Be sure to write down the password displayed as this screen will no longer be available after you click on the Continue button EA el washtenaw community health organization Help LOGIN 4 temporary password has been generated The first part of this password is 4e a The second part has been emailed to you Please write down the first part of the password once you leave this screen you will not be able ta view this information again I
Download Pdf Manuals
Related Search