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 Welcome to Health PAS-OnLine Announcements

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Memorial Day Holiday and the Financial CycleUse SHIFT+ENTER to open the menu (new window).New

Due to the Memorial Day holiday, the financial cycle for the week of 5/30/2016 will be delayed by one day. Payments, Remittance Advices (RAs), and the HIPAA 835 Claim Advice Files will be one day later than normal.

Provider Handbook UpdatesUse SHIFT+ENTER to open the menu (new window).
Updates have been made to the Provider Handbook. You may find the link on the left navigation panel of this website. Changes are noted at the beginning of each document. The updated documents are:
  • Agency Professional
  • Allopathic and Osteopathic Physicians
  • General Billing Instructions
  • General Provider and Participant Information
  • Hospital
  • Overview
  • Physician Assistants, Advanced Practice Nursing
  • Remittance Advice Analysis
May MedicAide Newsletter Now OnlineUse SHIFT+ENTER to open the menu (new window).

The May edition of the MedicAide Newsletter is now available online. Please click here for the latest news and information affecting Idaho Medicaid providers. If you must receive the MedicAide by mail, please dial 1 (866) 686-4272 and select option 3.

Long Term Care Unit Contact InfoUse SHIFT+ENTER to open the menu (new window).

Attention Nursing Home Providers: 

 

New phone system functionality will be available when calling the Long Term Care Unit at 1 (866) 255-1190 beginning May 16. Upgrades to the phone system will not impact our hours. Staff will still be available 8:00 a.m. to 5:30 p.m. Mountain Standard Time (MST), or 7:00 a.m. to 4:30 p.m. Pacific Standard Time (PST). Please check with your Administrator for a detailed bulletin they received via e-mail on May 6, 2016 regarding these changes.

2016 Idaho Healthcare Conference Use SHIFT+ENTER to open the menu (new window).
The 2016 Idaho Health Care Conference is quickly approaching.  Please look for more details in the April MedicAide Newsletter or for links to conference information see below:
 
Agenda click here
Class Description click here
Registration click here
Attention Providers Submitting Secondary Claims through Your Trading Partner AccountUse SHIFT+ENTER to open the menu (new window).

If a participant has primary insurance and their primary insurance claim has denied or paid at zero, providers must enter the Coordination of Benefits information in the COB Information section of the claim in addition to uploading the primary insurer's Explanation of Benefits (EOB). The EOB must include the EOB summary page. If the primary paid amount is zero, providers must enter zero and enter the paid date as the date of the EOB. If reporting both a co-pay amount and a coinsurance amount, these need to be added together and entered under coinsurance. These steps must be followed in order for us to process your claim correctly.

FQHC/RHC Crossover and Third Party BillingUse SHIFT+ENTER to open the menu (new window).
In order to be paid up to the Encounter Rate for claims with a third party payment, specific instructions must be followed. Click here for the instructions.
Dial 1 When You Call!Use SHIFT+ENTER to open the menu (new window).
It is very important that you dial a 1 when calling us. Please call 1 (866) 686-4272.
Thank you!
 
 
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