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Getting Connected with Volunteer State Health Plan of Tennessee
First Broadcast: December 9, 2008Second Broadcast: December 11, 2008
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Agenda
Welcome and IntroductionsOverview of VSHPTN online functionalitySystem demonstrationQuestions?
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www.VSHPTN.com
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Online Resources
BlueAccess – Secure Area (accessible from VSHPTN.com home page – click on “register now” and follow instructions)
– Check Eligibility– View Claim Status– Claim Submission– Remittance Advice– Real Time Claims Adjudication– Real Time Patient Liability Information
Provider Section - https://www.bcbst.com/providersBlueAlert NewsletterProvider Administrative ManualMedical Policy
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Online Resources cont’d.
www.bcbst.com
– eBusiness Section
eBusiness User Guide https://www.bcbst.com/providers/ecomm/E-BusinessUserGuide.pdf
Electronic Provider Profile Formhttps://www.bcbst.com/providers/ecomm/getting_started/profile_provider.pdf
Approved Vendor List – Bill Direct / Clearinghousehttps://www.bcbst.com/providers/ecomm/ANSI_vendors/Vendors_list.asp
BlueCore – Real Time Batch Eligibility https://bluecore.bcbst.com/bluecore.pdf
Companion Guide and Front End Editshttps://www.bcbst.com/providers/ecomm/technical-information.shtml
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Online Resources cont’d.
ProviderConnect – Secure Area (accessible from www.VSHPTN.com home page –Click on “Providers”Go to ValueOptions of Tennessee
– Click on “Find out more”– Click on “Register” (follow instructions)– Request Authorizations– View Authorizations– View “My Practice Information”– Access and Print Forms
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Online Resources cont’d
– ValueOptions of Tennessee Cont’d. Click on Network Specific InformationClick on Tenncare
– AdministrationFAQs
– ClinicalClinical Criteria
– Forms– Important Links
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Online Resources cont’d.
All In Network providers will be able to obtain online registration per provider ID number via the websiteTo obtain additional logons for ProviderConnect –contact the ValueOptions® EDI Helpdesk at (888) 247-9311 and press option 3, Monday thru Friday, 8a.m. – 6 p.m. EST
The TAT for additional logons is 48 hours
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VO Provider Relations Staff
Melissa T. Isbell Director of Provider [email protected] Cell (901) 483-1088
Annette Farmer-DentleyRegional Representative, Memphis/Shelby County85 North Danny Thomas Blvd.Memphis, TN [email protected] Cell: (901) 378-6798Office: (901) 544-2243
Ella BentleyRegional Representative, Jackson/Rural West51 Stonebridge Blvd.Jackson, TN [email protected] Cell: (731) 377-1737
Marian JohnsonRegional Representative, Upper East
Jodi BensleyRegional Representative, Chattanooga /surrounding area801 Pine StChattanooga, TN [email protected] Cell: (423) 742-5270
Sheila WallerRegional Representative, Memphis/Shelby County85 North Danny Thomas Blvd.Memphis, TN [email protected] Cell: (901) 483-6012Office: (901) 544-2398
Bob DeatherageRegional Representative, Knoxville /surrounding area 6305 Kingston PikeKnoxville, TN [email protected] Cell: (865) 202-2861
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Blue Access Main Menu
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e-Health Services Main Page
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Patient Inquiry
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Patient Inquiry (Page 2)
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Patient Inquiry (Page 3)
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Patient Inquiry (Page 4)
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Patient Inquiry (Page 5)
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Patient Inquiry (Page 6)
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Patient Inquiry (Page 7)
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Claim Center
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Claim Center (Page 2)
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Claim Center (Page 3)
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Claim Center (Page 4)
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Remittance Advice Search
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Real Time Claims Adjudication
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RTCA – Patient Liability
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e-Business Solutions Regional Marketing Consultants
East Tennessee: Patty Stroupe – ManagerPhone: (423) 535-3490e-mail: [email protected]
Greater Chattanooga Area: Faye MangoldPhone: (423) 535-2750e-mail: [email protected]
Middle Tennessee: Heather Miller-BlackmanPhone: (615) 386-8549e-mail: [email protected]
West Tennessee: Debbie AngnerPhone: (901) 544-2285e-mail: [email protected]
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Getting Connected to Volunteer State Health Plan of Tennessee
System Demonstrationwww.vshptn.com
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Getting Connected with Volunteer State Health Plan of Tennessee
Questions?
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Getting Connected with Volunteer State Health Plan of Tennessee
Thank you!
Please remember to complete your evaluation forms
