In this module, you will learn how to add the beneficiary information of a new PA request in the system.
Inquiring on the Eligibility of a Member
Inquiring on the Eligibility of a Member
Viewing 834 Enrollment Transactions Sent to an MCO
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.
Creating a DDE Claim Based on a Template
In this module, you will learn how to save a claim as a template and search for the saved template to create and submit a new claim.
Modifying the Information on a DDE Claim Template
In this module, you will learn how to modify the claim information in the header as well as the service line by using a template.
Understanding the Different Sections of a DDE Claim Form
In this module, you will be introduced to the different sections of a claim. You will identify the critical components that constitute these sections and the essential information that is required to complete a claim document.
Creating a Professional DDE Claim
In this module, you will learn how to create a Professional DDE claim online and enter the necessary insurance information before submitting the claim. You will also learn how to upload supporting documents for a claim that is already submitted and take its printout for your reference.
Creating an Institutional DDE Claim
In this module, you will learn how to create an Institutional DDE claim online.
Creating a Dental DDE Claim
In this module, you will learn how to create a Dental DDE claim online.
Understanding Submission Channels in Claims and Encounters
In this module, you will be introduced to the different transaction submission methods that are supported in Claims and Encounters.