Instructional Guide for Document Upload Functionality (for CMS 1500 Form)

Transcription

1 Instructional Guide for Document Upload Functionality (for CMS 1500 Form) within CYBER

2 Contents Introduction... 2 Required Documents for Upload... 2 Accessing the CYBER claim portal... 3 Electronic CYBER Claim... 5 Upload Document... 6 View Uploaded Document of 18

3 Introduction This guide will outline the document upload functionality within CYBER claim portal. This functionality allows a user to submit documents that may support and/or justify the date of service entered on the electronic claim (i.e. CMS 1500 form). Tools needed: CYBER log in: Username & Password Required Documents for Upload The list of various service line mandatory documents that need to be uploaded into Cyber s claim portal. Sandy services- Require an Attestation form and a service delivery encounter date/time sheet for each youth. FSS Developmental Disability (DD) & IIH*- Requires the service delivery encounter date/time (time-sheet) for each youth. Wrap Flex/ Behavioral Health- Requires the Service Delivery Encounter Documentation (SDED) form for each youth. *IIH: Intensive-In-Home FSS services

4 Accessing the CYBER claim portal To access the claim portal you may click on the Authorization area on the right side of the Cyber Welcome Page. Doing this will open up the list of links that will populate the center grid on the page with information. Users may click on the Current link in order to view a list of approved authorization numbers that providers can submit claims against. The Authorization number will act as a link to the details screen, where users will input their claim form.

5 When you click on the Auth # (Authorization Number) it will connect you to the Authorization Detail screen; which displays the elements to the authorization number approved. Cyber users have the ability to create a new claim by clicking on Add Claim/Usage button. The electronic claims that have been created and/or submitted belonging to this authorization will be listed. You may click on the Claim # to view the electronic 1500 claim. In addition to the authorization details, you can also view youth s information (Cyber ID# & youth s name) along with the provider s name, federal tax ID# and CIMID# (provider s internal number). Also, in this screen, you can view all the listed claims belonging to the youth s authorization number approved.

6 Electronic CYBER Claim The hyper link Claim # will take you to the already started and/or submitted electronic 1500 claim form; clicking the Add New button will open a new 1500 claim form. The youth s information will auto populate on top of the electronic claim. In the claim, all the boxes highlighted in red are required fields. Once the required information is entered, proceed by clicking on the Save button; the claim will default to the status In-Progress.

7 Upload Document Please note: In order to upload document you must save claim status In-Progress. To upload document click on the Document Upload button Claim Status

8 Click on top left-side button Add New Document Click on button Add New Document

9 Enter a comment into the box to describe the document. Please note before clicking on the Browse button you must enter a note in the box; otherwise it will prevent the document to upload.

10 Then select the appropriate document type Browse for the document Then search for the document in your computer file.

11 Click on Upload Once the file is found; finally click on the Upload button to download the document into Cyber claim portal.

12 The yellow bar should display 100% upload done. The bar filled in yellow implies the document download is complete.

13 Click on Close to exit the box.

14 View Uploaded Document To view the uploaded document: You may click into the Insurance Document to view the uploaded file Also the uploaded file can be removed by clicking on the Delete button

15 You can choose to open the file to view document.

16 Successfully view the document Once you view the uploaded document, you may click on the top corner (red X) to exit the file.

17 Once the document is uploaded, change status from InProgress to Submitted and click on Save button again to accept the claim and submit it to PerformCare for review. Then click on the Exit button on the right to close claim. For any inquiries regarding processing claims via CYBER; please

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