THH TransitionWeb Page Instructions

6-17-2013

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Welcome to the CareCentrix Transition Process

• Log on to the CareCentrix portal Logonhttps://www.carecentrixportal.com

• Select the option “Member Transition” located on the right hand side of the page under the listing titled “For Provider”

• Web page instruction• page 7 -12

• Automated response expectations • page 13 -15

• For further Transition assistance please watch the Transition video. The link is available under “Member Transition”

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Transition Video

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Choose your plan to Register for

Health Plan A 7-1-2013 to 11-30-

2013

Health Plan B 7-1-2013 to 11-30-

2013

Health Plan C 7-1-2013 to 11-30-

2013

• Select the plan to register patients for transition.

• Each health plan will indicate the dates available for registering your patients

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Select your method of registration; Webpage

THH Providers:Web Page Registration is recommended.

***instruction manual is available here for download and support

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Enter your contact information

Needed for questions about your patientsNeeded for questions about your patients

To send your confirmations and authorizations ** E-mail

To send your confirmations and authorizations ** E-mail

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Web Registration is Interactive

• Save Time !!

• When a Zip code is added the city and state populate – Use the drop down box to pick the city you need

• Enter a HCPC and click Search Enter a HCPC and click Search – all associated services will appear – simply choose the one you want

• Have more then one item to register for a patient - Click Save and Save and Add Another HCPC Add Another HCPC –

• Same As Previous Same As Previous – will allow the information previously entered for that patient to repopulate for that section

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Web Registration

• Is this Transition Health Plan the Primary Insurance Choose Choose YES or NOYES or NO

• If NO is selected, type in the primary insurance name

• Enter the patients Subscriber ID number

• Important !!!

• Please enter the Name of your company

• A Contact name is needed for questions about your entries

• Phone, City, and State should reflect the servicing branch

• Provider NPI and Tax ID are important – this will drive which Location will be authorized for the item submitted

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Web Registration

• Demographics are essential for registration – do not leave any blanks

• All dates should be entered as: mm/dd/yyyy

Enter a zip code and the city – state will auto populate * use the drop down box to pick your city

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Web Registration

• Enter your HCPC code and click on

• Simply click the line with the CCX code, UOM, and Description that you need.

• Your item will populate to the box below your search window

• Enter the Next Visit Scheduled date

• Choose the patients Frequency: number of visits – select from drop down: per day, per week, per month.

• Choose the Duration: number of days, weeks, months

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Web Registration

• Primary Diagnosis is the primary reason the service listed is needed and what qualifies the patient for that service.

• The Physician who ordered the service should be listed

• If you are registering more than one service for a patient, you can click on and the information will auto populate

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Web Registration

• Once you complete the Physicians information you have two choices

• Click when you have more than one item to register for your patient.

Your current patient’s information auto populates Your Provider information auto populates

• Click when you have completed your patients registration

• Once you click you can choose to add another patient for registration or you can submit your registration/s for Transition.

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Responses

• Once you have submitted your transition patients, you will receive a DNR automatic response about your submission within 48 hours

• The email senders name will be listed as DNR@CareCentrix.com

• (DNR = Do Not Respond)This is not a responding email address

• This response will tell you how many line items you submitted, How many were accepted, and How many are being returned to you.

• If there is a file attached, please review for any corrections needed.

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Responses

• If you receive a DNR that has an attachment - open the file.

• Any needed corrections will be highlighted in RED

• When you hover over the highlighted box, the error definition will display

• Correct the error and upload the template onto the transition portal.

• ***In this case, update the patients insurance ID

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Responses

• Once your patient’s have been accepted for processing, your authorizations will be returned to you via email from CCX.

• Submissions without exceptions will be returned in 24-72 hours

• Exceptions will pend for further review by the Transition team.

• Once the review is completed, an authorization (Tab: Auth) or a Rejection (Tab: Reject) will be generated and emailed back to you.

• HCPCs highlighted in Red were authorized at a standard template rate

• Units highlighted in Red were authorized based on UM guidelines