Illinois Department of Human Services / Division of Mental Health and Illinois Mental Health Collaborative Present

1. Illinois Department of Human Services /Division of Mental Health and Illinois Mental Health Collaborative Present December 2008 Introduction To IntelligenceConnect and Reporting

2. Agenda • Introductions • Access IntelligenceConnect • Claims Reports • Review Available Reports/Data Set • Review Upcoming Reports • Questions • Review Upcoming Registration Reports • Questions

3. Introductions Kathy Melia, Collaborative VP Operations Lisa Laplante, Collaborative Claims Director Cathy Doran, Collaborative EDI Help Desk Manager Karen Vendetti, Collaborative Eligibility Director Mike Wagner, Collaborative Claims Manager Jason Martin, Collaborative Reporting Analyst

4. Reports and Data Sets • HFS Eligibility data and Claims data is downloaded to the warehouse on a weekly basis: • Updated information becomes available on Mondays and includes data submitted through the previous Friday by 6pm • Registration data is updated daily and includes data submitted the previous day • Online and Batch • Only registrations entered into the Collaborative’s system are available for reporting • Reports are delivered in a “PDF” format (Portable Document Format) • Data sets are created in the Microsoft Excel format and can be downloaded to a local desktop for analysis and ad-hoc reporting

5. Overview: IntelligenceConnect IntelligenceConnect provides a method for providers or their designated representatives to generate reports regarding claims or registrations for Illinois consumers. • Access IntelligenceConnect via link from ProviderConnect • Enter data into a series of screens or windows with drop down boxes or fields to set report parameters • All data comes from Collaborative’s Data Warehouse Claims, HFS Eligibility and Registration data used for these reports is entered into, or generated by, the adjudication processes from the various Collaborative systems and then downloaded into our data warehouse.

6. Claim Reports Excel Data Set Includes all claims detail for finalized claims EDI 837P Management Reports – in pdf format Monitor claim volumes and staff productivity by submission date, submitter ID, or submission # Claim Status –in pdf format Monitor claim results by those paid, denied and still in process

7. Access Claims Reports • Log-on ProviderConnect via the Illinois Mental Health Collaborative Website www.illinoismentalhealthcollaborative.com

17. 837P and/or DCSDenied Claim Lines by Submission Date • Shows denied claim lines for a date range, regardless of the manner of claim submission (batch or direct) • Report shows claim line detail of those claims finalized to deny including primary reason for denial • EOP message shown is the message received on Provider Summary Voucher. More generic HIPAA compliant description on 835

18. Claims Reports

31. Report of Staff ID Activity Submitted by Service Date At each service location a summary of total services provided by each staff member, including total units and charges on a specified service date

32. Claims Reports

43. Report of Staff ID Activity Submitted by Service Date-Sample Report ILL Report of Staff ID Activity Submitted by Service Date Submitter ID 123456 Service Start Date 09/15/08 Service End Date 09/16/08 Staff ID POS Code Date of Service Service & Modifiers Total Units Total Charges Service Location : XYZ Street 11 000000005 9/15/2008 H0032 HO 8 $ 144.16 9/16/2008 H0004 HO 16 $ 288.32 H0004 HQ HO 16 $ 96.16 H0032 HO 4 $ 72.08 000000008 9/16/2008 H0004 HO 10 $180.20 H0032 HO 4 $ 72.08 H2015 HO 9 $162.18 000000010 9/15/2008 H2017 HQ HO 70 $ 420.70 T1016 TG HN 1 $ 16.65 9/16/2008 H2017 HQ HO 72 $ 432.72 Service Location Approved Units, Charges 200 $ 1,685.25 XYZ Street Denied Units, Charges 10 $ 200.00 In Process Units, Charges 00 .00

44. Excel Data Set Claim Detail –Excel format data set of finalized claims that can be saved to Provider’s desktop and sorted according to provider’s preference. Select by either received (submission) date, service date, or paid date. A specific date or date range is required to limit data set size. Additional selection criteria: • A specific consumer or all consumers, • A specific service code or all service codes • Data Set is limited by Excel’s limitations. • Providers need to plan timing and approach to extracting data

45. Claim Data Set