This module will first describe the purpose of HIPAA 834 transactions, and then explain how to view HIPAA 834 transactions sent to an MCO by using a simulation.
Assessment: Overriding Member Data
Assessment
Modifying Existing Rate Code Override Information
This module will use a simulation to explain how to modify existing rate code override information.
Modifying Existing County Code Override Information
This module will use a simulation to explain how to modify existing county code override information.
Overriding Member Data – Rate Code
This module will use a simulation to explain how to override member data for a rate code.
Overriding Member Data – County Code
This module will use a simulation to explain how to override member data for a county code.
Overriding Member Data: An Overview
This module will define member date override, explain the purpose of overriding member data, and use an illustration to explain the process of overriding member data.
Approving Managed Care Rate Factors
This module will use simulations to explain how to approve and reject MC rate factors.
Adding, Viewing, and Modifying Managed Care Rate Factors
This module will use a simulation to explain how to add MC rate factors.