Secure Provider Website

Secure Provider Website

Instructional Guide

Introduction The Secure Provider Web is a secure website developed to allow Providers across Centene health plans to perform a variety of functions from their office. By registering and creating an account, a Provider can easily check patient eligibility, and view their patient list. Providers can view and submit both authorizations and claims through the website. A secure messaging feature allows a Provider to communicate with the health plan without having to pick up the telephone. How to Use the Manual This manual is intended to be a quick reference for using a tool or function offered on the website when a Provider or staff member needs assistance. The manual also explains many ways to use the site in order to get the most out of the resource. System Requirements Access the secure provider website using Internet Explorer 10.0 or higher, Firefox and/or Google Chrome. Each browser should be updated to the most recent version available optimal performance.

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Contents Introduction ....................................................................................................................................................................2 How to Use the Manual..................................................................................................................................................2 System Requirements....................................................................................................................................................2 Registration .................................................................................................................................................................... 5 Create an account:.........................................................................................................................................................5 Login ..............................................................................................................................................................................9 The Dashboard ............................................................................................................................................................10 Your Account ...............................................................................................................................................................11 Update an account.......................................................................................................................................................12 To modify demographic information about the Specific TIN.........................................................................................12 Adding a TIN to an account..........................................................................................................................................13 User Management........................................................................................................................................................14 Account Permission Definitions....................................................................................................................................15 Invite a others to join your account...............................................................................................................................16 Verifying Patient Eligibility ............................................................................................................................................17 Overview Tab on Patient Record .................................................................................................................................19 Cost Sharing ................................................................................................................................................................21 Assessments ................................................................................................................................................................ 22 Viewing Submitted Assessment Responses ................................................................................................................23 Health Record ..............................................................................................................................................................24 Care Plans ...................................................................................................................................................................26 Authorizations ..............................................................................................................................................................28 Create an Authorization ...............................................................................................................................................31 Referrals ......................................................................................................................................................................53 Coordination of Benefits...............................................................................................................................................56 Claims ..........................................................................................................................................................................57 Adding Diagnosis codes and coordination of benefits..................................................................................................58 Adding Coordination of Benefits...................................................................................................................................59 Adding Service Lines to the claim ................................................................................................................................61 Adding Provider Information to the claim .....................................................................................................................62 The Review Section of the claim..................................................................................................................................64 Creating an Institutional Claims ...................................................................................................................................65 The following screen appears: .....................................................................................................................................73 Uploading Documents for Quality Management / Medical Necessity Upload...............................................................74 To Upload a Medical Necessity Document for a member's record ..............................................................................78 To View Uploaded Documents for Quality Management / Medical Necessity Upload..................................................81

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Downloading the Patient List........................................................................................................................................86 Filter the Patient List ....................................................................................................................................................87 View Authorizations by TIN ..........................................................................................................................................88 To view the details of the Individual claim ....................................................................................................................91 Correct Claim ...............................................................................................................................................................91 Copy Claim ..................................................................................................................................................................92 Saved Claims...............................................................................................................................................................95 Submitted Claims.........................................................................................................................................................96 To view submitted batch claims ...................................................................................................................................97 Payment History...........................................................................................................................................................98 To view the Explanation of Payment details.................................................................................................................98 Downloading an Explanation of Benefits......................................................................................................................99 Claims Audit Tool...............................................................................................................................100 Create a Secure Message....................................................................................................................102 To view Sent messages.......................................................................................................................103

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Registration Create an account: 1. Click on `Create An Account'.

Note: A video is available which will walk new users through the registration process. Or, for step by step printed instructions, click on the provider registration pdf.

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