Tour Our Secure AccessPoint Site

Transcription

1 Medicaid Managed Care March 13, 2012 Tour Our Secure AccessPoint Site AccessPoint is UniCare s online information tool for our providers. This secure website gives registered providers the ability to do a multitude of tasks. With just a few clicks of the mouse, providers can check member benefits and eligibility, look up claims and remittances status and run eligibility reports. Below is a quick guide to the site that includes navigation tips, registration information and screen shots. Note: the AccessPoint website is updated regularly with the latest information, so please make sure to check the site often. How to Access the Site Figure 1 is the home page of the UniCare provider website. You can access this site by entering into the URL address field of your search engine and then by clicking on Providers in the upper left-hand corner. In the Login box in middle of the Welcome to UniCare page (Figure 2), choose Medical from the drop-down Select Access menu and then click Login. Figures 1 and 2 UniCare Health Plan of West Virginia, Inc., Registered mark of WellPoint, Inc. WVW2912 Rev: 08/23/13

2 Page 2 of 5 On the AccessPoint Login page (Figure 3), if you have previously registered on the site, enter your User ID and your Password in the boxes underneath the Enter Your Login Information heading on the left. If you have lost or forgotten your password, click on Retrieve Temporary Password. On the following screen, type in your User ID and last name. Once that information has been verified, you will receive a temporary password and instructions on how to create a new personal password. If you have not yet registered, click on Register for AccessPoint. Note: In order to register, you will need to have your valid Tax ID Number on hand. Once that is entered, the system will check to see if an account already exists for that Tax ID. If an account does not exist, the requestor must confirm that he/she can make a legally-binding agreement for their provider or organization. Additionally, if you do not have a valid National Provider Identifier (NPI), you will not be able to perform HIPAA standard transactions or access any member information. Should you need to reset your password and encounter difficulty with the Retrieve Temporary Password link, please your password reset request to AccessPoint directly at accesspoint.pins@wellpoint. com. Upon your successful login, take a few minutes to look around the Provider Home page (Figures 4 and 5) and see what tools are available to you. We continually update the site to bring you the latest information and resources available. Figure 3 Figure 4 Note: The AccessPoint site is a tool for all of our providers. Please be aware that only those documents and resources labeled State Sponsored Business contain information relating to our SSB plans and programs.

3 Page 3 of 5 Figure 5 Member Eligibility and Benefits Inquires In AccessPoint, there are two ways to retrieve information about a member s eligibility and benefits. For information on an individual member, type their ID number, member type, service date and service type code into the top boxes of the Eligibility and Benefits Inquiry box on the Provider Home page (Figure 6). Then type either their birth date or their first and last name into the bottom boxes and select Search. For information on a single member or multiple members, click first on the Eligibility and Benefits tab at the top of the home page (Figure 7), then on the Eligibility and Benefits Inquiry link on the following page. If a member s ID number is not available, you can also search for their information by name from either location by using their first and last name and date of birth. Figure 7 Figure 6

4 Page 4 of 5 Claims Inquires To access claims status information from the AccessPoint site, click to the Claims tab on the menu at the top of the home page. (Figure 7) The next page provides links that allow you to check claims status, run claims reports, and check on remittances. (Figure 8) Figure 8 Figure 9 Reports By clicking the Reports tab, you can access and review Eligibility Reports as well (Figure 9). To do so, you will need a site code. If you are unsure of the proper site code, please contact Customer Care at

5 Figure 10 UniCare Health Plan of West Virginia, Inc. Page 5 of 5 Procedure Codes Requiring Prior Authorization UniCare continuously updates and adds codes in an effort to stay current with ever-changing medical practices and new technologies. To access the PDF document containing the most up-to-date list of these codes, click on Procedure Codes Requiring Prior Authorization under the News and Information heading on the AccessPoint Provider Home page (Figure 10). For More Information If you encounter outages, error messages or other technical difficulties with the AccessPoint site itself, please contact AccessPoint Tech Help directly at Technical assistance is available Monday through Friday, 8 a.m. to 8 p.m. If you have questions about UniCare content on the AccessPoint site, please call the Community Resource Coordinator at