Amerigroup Website User Guide for Providers: Provider Updates page 1

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1 Amerigroup Website User Guide for Providers: Provider Updates page 1 The tools for provider updates allow you to: Change and update o Basic information o Registration information o Practice information o Product information o Tax and payment information Request termination from Amerigroup Update the practice roster We will examine each of these tools below. Changes and Updates 1. Select Provider Updates then the Changes & Updates submenu within the Account Management menu. 2. Select your TIN and your provider number. 3. Click the tabs at the top of the screen to go to the information you wish to update.

2 Amerigroup Website User Guide for Providers: Provider Updates page 2 Updating Basic Information 1. Change any of the information using the following methods. For the text fields, click in the field, delete the text and type the new information. For the drop-down menus, such as Gender, click the arrow and click your selection. For the blue text, such as Add Hospital/City, click the word or phrase. A window will open, and you can update the appropriate information. 2. Click the Save button when you are done.

3 Amerigroup Website User Guide for Providers: Provider Updates page 3 Update Registration Information You may add or update the registration information for your state license, National Provider Identifier number, taxonomy code, Drug Enforcement Administration number, and Medicaid and Medicare numbers. 1. Click the ADD REGISTRATION button to add another registration type. 2. Click the individual registration row in the grid to update the information.

4 Amerigroup Website User Guide for Providers: Provider Updates page 4 Update Practice Information Use this to add or update practice locations, the remittance address and office hours. 1. Click the Practice Info button. To add a new address, click the ADD ADDRESS button. When you add all of the information, click the Save button. To update address information, place your mouse on the address and click to open the window. Change the necessary information and click the Save button. To remove an address, click the REMOVE button. To update the practice address type, click the appropriate check box in the Practice Type columns.

5 Amerigroup Website User Guide for Providers: Provider Updates page 5 Update Product Information Update the information about patients you accept. 1. Click the Product Info button. 2. Click the product row that you want to update. 3. Use the All Ages drop-down menu to change the age range of patients accepted by the practice. 4. Click the checkbox to indicate whether you are accepting new patients. 5. Click the SAVE button to save your changes.

6 Amerigroup Website User Guide for Providers: Provider Updates page 6 Update Tax and Payment Information If the fields for this function are grayed out, you cannot update your tax information using the Provider Portal. 1. Click the Tax/Payment Info button. 2. Click on the tax ID row that you wish to update.

7 Amerigroup Website User Guide for Providers: Provider Updates page 7 3. Click in the fields you wish to update, and delete the old information. Remember, if the fields are grayed out you cannot update your tax information on the provider portal. 4. Type the new information.

8 Amerigroup Website User Guide for Providers: Provider Updates page 8 Request Termination from Amerigroup Select Provider Updates then Request Termination submenu within the Account Management menu. Select your TIN and your provider number. Make the appropriate selection from the Term Reason dropdown menu.

9 Amerigroup Website User Guide for Providers: Provider Updates page 9 Click the calendar icon to display the calendar and select the desired termination date. Select the plan(s) for which you are submitting the termination request.

10 Amerigroup Website User Guide for Providers: Provider Updates page 10 Click the checkbox to acknowledge the termination request disclaimer, and then click SUBMIT. A grayed version of the page displays. Click CONFIRM. A file upload dialog box displays.

11 Amerigroup Website User Guide for Providers: Provider Updates page 11 Determine if you have documents that you would like to upload with this request. For this lesson, we will select YES. A Documents Upload dialog displays. Click the Browse button. A Choose File dialog box displays. Locate the appropriate file and click Open. The file path displays in the Attach File field. Files may be in MS Excel, MS Word or Adobe Acrobat (PDF) format. Select Provider Update for the Document Type drop-down menu and then click ATTACH.

12 Amerigroup Website User Guide for Providers: Provider Updates page 12 If you have additional supporting documentation, repeat steps 10 and 11 until you have attached all appropriate files. When you are done, click CONFIRM. A verification notice displays. Please allow 15 days for your request to be processed. Please retain the confirmation number in case you need to discuss the request with Amerigroup.

13 Amerigroup Website User Guide for Providers: Provider Updates page 13 Update the Practice Roster 1. Select Provider Updates then Update Roster from the submenu within the Account Management menu. 2. Select your TIN and your provider number. The Upload Roster page displays. 3. Click the Browse button. A Choose File dialog box displays. Locate the file containing your current roster and click Open. Roster files may be in MS Excel, MS Word or Adobe Acrobat (PDF) format.

14 Amerigroup Website User Guide for Providers: Provider Updates page Select Provider Roster from the Document Type drop-down menu and click ATTACH. 5. If you have additional supporting documentation, repeat steps 3 and 4 until you have attached all appropriate files. When you are done, click SUBMIT. A verification notice displays. 6. Please allow 15 days for your request to be processed.