online claims entry adjustment, void and re-bill · 2017-12-29 · online claims entry adjustment,...
TRANSCRIPT
![Page 1: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/1.jpg)
Online Claims Entry Adjustment, Void and Re-bill
Conduent
Government Healthcare Solutions
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11/09/2017
Resources
When online use: Ask Service Representative
Call Center 800-299-7304
New Mexico Web Portal
• Provider Information section
• Links and FAQ section
• Provider Login section
![Page 3: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/3.jpg)
Important State Websites
10/9/2017 Family Planning Workshop
STATE WEBSITE:
PROGRAM POLICY MANUAL
• http://www.hsd.state.nm.us/mad/policymanual.html
BILLING INSTRUCTIONS
• http://www.hsd.state.nm.us/mad/billinginstructions.html
REGISTERS AND SUPPLEMENTS:
• http://www.hsd.state.nm.us/mad/registers/2012.html
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Adjustments
10/9/2017 Family Planning Workshop
• A paid claim can be adjusted.
• Providers CAN NOT adjust a denied claim.
• ONLY Claims that have been processed through Online Claims Entry can be adjusted online. Claims processedthrough EDI or on paper CAN NOT be adjusted on the web portal.
• Attach any new attachments pertinent to the adjustment.
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Adjustments – Filing Limit
10/9/2017 Family Planning Workshop
Adjustments must be submitted within 90 days from the date on the RA, for the paid claim.
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Submitting an Adjustment
Conduent
Government Healthcare Solutions
![Page 7: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/7.jpg)
Adjustments
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Adjustments
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CMS- 1500 Adjustment Form
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CMS- 1500 Adjustment Form
![Page 11: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/11.jpg)
September 1, 2020 Adjustment, Void, and Claim Rebill Online Entry Workshop
All data associated with the
previously submitted TCN will
auto-populate
Make any changes to the existing
information providedTo add additional line items, select “Add Service Line
Item”
Select “Edit” to make changes to lines already populated.
![Page 12: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/12.jpg)
CMS- 1500 Adjustment Form
![Page 13: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/13.jpg)
CMS- 1500 Adjustment Form
![Page 14: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/14.jpg)
UB-04 Adjustments
Conduent
Government Healthcare Solutions
![Page 15: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/15.jpg)
September 1, 2020 Adjustment, Void, and Claim Rebill Online Entry Workshop
All data associated with the
previously submitted TCN will
auto-populate
Make any changes to the existing
information provided
UB-04 Adjustments
![Page 16: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/16.jpg)
September 1, 2020 Adjustment, Void, and Claim Rebill Online Entry Workshop
All data associated with the
previously submitted TCN will
auto-populate
Make any changes to the existing
information provided
UB-04 Adjustments
![Page 17: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/17.jpg)
September 1, 2020 Adjustment, Void, and Claim Rebill Online Entry Workshop
All data associated with the
previously submitted TCN will
auto-populate
Make any changes to the existing
information provided
UB-04 Adjustments
![Page 18: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/18.jpg)
September 1, 2020 Adjustment, Void, and Claim Rebill Online Entry Workshop
All data associated with the
previously submitted TCN will
auto-populate
Make any changes to the existing
information provided
UB-04 Adjustments
![Page 19: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/19.jpg)
September 1, 2020 Adjustment, Void, and Claim Rebill Online Entry Workshop
All data associated with the
previously submitted TCN will
auto-populate
Make any changes to the existing
information provided
UB-04 Adjustments
![Page 20: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/20.jpg)
September 1, 2020 Adjustment, Void, and Claim Rebill Online Entry Workshop
All data associated with the
previously submitted TCN will
auto-populate
Make any changes to the existing
information provided
UB-04 Adjustments
![Page 21: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/21.jpg)
September 1, 2020 Adjustment, Void, and Claim Rebill Online Entry Workshop
All data associated with the
previously submitted TCN will
auto-populate
Make any changes to the existing
information providedTo add additional line items, select “Add Service Line
Items”
Select “Edit” to make changes to lines already populated.
UB-04 Adjustments
![Page 22: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/22.jpg)
September 1, 2020 Adjustment, Void, and Claim Rebill Online Entry Workshop
All data associated with the
previously submitted TCN will
auto-populate
Make any changes to the existing
information provided
UB-04 Adjustments
![Page 23: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/23.jpg)
September 1, 2020 Adjustment, Void, and Claim Rebill Online Entry Workshop
All data associated with the
previously submitted TCN will
auto-populate
Make any changes to the existing
information provided
UB-04 Adjustments
![Page 24: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/24.jpg)
September 1, 2020 Adjustment, Void, and Claim Rebill Online Entry Workshop
All data associated with the
previously submitted TCN will
auto-populate
Make any changes to the existing
information provided
X
Once adjusted claim is submitted,
a new TCN will be generated.
UB-04 Adjustments
![Page 25: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/25.jpg)
September 1, 2020
Adjustments – Filing Guidelines Recap
Adjustment, Void, and Claim Rebill Online Entry Workshop
• Make any changes to the existing information provided on the
previously submitted TCN. Only make changes to data that will
impact the adjustment.
• Indicate Timely Filing Justification TCN number provided in the claim information section.
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Submitting a Void
Conduent
Government Healthcare SolutionsSeptember 1, 2020Adjustment, Void, and Claim Rebill Online Entry Workshop
![Page 27: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/27.jpg)
Adjustment, Void, and Claim Rebill Online Entry WorkshopSeptember 1, 2020
Void Request
Enter The Recipient ID, TCN, Action, & Void Reason
![Page 28: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/28.jpg)
Adjustment, Void, and Claim Rebill Online Entry WorkshopSeptember 1, 2020
Void Request
![Page 29: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/29.jpg)
Adjustment, Void, and Claim Rebill Online Entry WorkshopSeptember 1, 2020
Void Request
![Page 30: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/30.jpg)
Claims Re-bill
Conduent
Government Healthcare Solutions
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Adjustment, Void, and Claim Rebill Online Entry WorkshopSeptember 1, 2020
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Claims Re-bill
Conduent
Government Healthcare Solutions
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What Questions Do You Have?
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What take away message do you
have to share with us?
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11/09/2017
Resources
When online use: Ask Service Representative
Call Center 800-299-7304
New Mexico Web Portal
• Provider Information section
• Links and FAQ section
• Provider Login section
![Page 36: Online Claims Entry Adjustment, Void and Re-bill · 2017-12-29 · Online Claims Entry Adjustment, Void and Re-bill Conduent ... 11/09/2017 Resources When online use: Ask Service](https://reader034.vdocuments.net/reader034/viewer/2022043008/5f98a858d2042b6e401e2e5e/html5/thumbnails/36.jpg)
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