Assessment
Viewing Claims Information by a State User
In this module, you will learn how to view the claim header and service line information of Professional, Institutional, and Dental claims.
Viewing Claims Information by a Provider
In this module, you will learn how to view the claim header and service line information of Professional, Institutional, and Dental claims.
Viewing Pharmacy Claims Header Information by a Managed Care Organization
In this module, you will learn how a provider can view the Pharmacy claim header detail.
Viewing Pharmacy Claims Header Information by a State User
In this module, you will learn how a State user can view the Pharmacy claim header detail.
Approving or Rejecting a Rule Association
In this module, you will learn how to approve or reject a rule association.
Managing Rule Criteria for an Account Code Segment
In this module, you will learn how to approve or reject a rule criteria.
Claims and Encounters Inquiry: An Overview
In this module, you will be introduced to the Claims Inquiry function of the Claims and Encounters subsystem. You will also identify the different Show menu items that you can use to view the various details of the online claims and encounters and the generated and/or paid MCO transactions.
Associating and Managing a Domain to a Rule
In this module, you will learn how to associate a domain to a rule. You will also learn how to mark a rule for inactivation.