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Wyoming Medicaid Provider Web Portal

Learn to navigate Wyoming Medicaid Provider Web Portal for claims, inquiries, and updates. Access tutorials and resources for seamless usage.

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Wyoming Medicaid Provider Web Portal

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Presentation Transcript

  1. Wyoming Medicaid Provider Web Portal Wyoming Medicaid Provider Workshops Summer 2015 Presenter: Kilee Thompson, Field Representative

  2. Provider Web Portal • Located on the Wyoming Medicaid Website • http://wymedicaid.acs-inc.com • Select Provider • Select Provider Portal (Left Hand Navigation Bar) • For Returning Providers enter User ID and Password • For New Providers, please follow the steps outlined in the next slide

  3. Gaining Access to the Provider Web Portal • If you have not already enrolled to receive access to the Wyoming Medicaid Provider Web Portal, please follow these directions: • Fill out the Wyoming Medicaid EDI Enrollment Application and Agreement which is located on the Wyoming Medicaid website under Forms->Wyoming Medicaid – EDI Applications ->EDI Enrollment Application and Agreement • Once completed successfully, you will receive a Wyoming Medicaid EDI Welcome letter which will contain all the information you will need to register for the Provider Web Portal • Go to the Provider Portal Link and select the Web Portal Link under New Providers • Follow steps outlined to register for the Provider Web Portal • Directions on how to register are also outlined in the Wyoming Medicaid provider manual in Section 8.5.2.1

  4. Provider Web Portal Services • The Wyoming Medicaid Secure Provider Web Portal delivers the following services • Submit claims • Upload claim attachments • Retrieve Remittance Advices • Submit “Ask Wyoming Medicaid” inquiries • Submit and retrieve Prior Authorization requests and responses • Perform LT101 Inquiries • Enter PASRR • User Administration • Create claim templates • Update provider demographics

  5. Navigating the Provider Web Portal

  6. Navigating the Provider Web Portal: Claims • Create claims • Create templates • Edit/ delete saved claims • View submitted claims • View/Edit/ Delete templates

  7. Navigating the Provider Web Portal: Attachments • Uploading a Claim Attachment • Enter Pay-to Provider ID • Enter Client ID • Enter Claim From Date of Service • Enter Claim To Date of Service • Enter TCN if you have it • Enter Attachment Control Number • Enter Attachment Type • Upload File

  8. Navigating the Provider Web Portal: Remittance Advice • Enter NPI or Provider ID • Select Provider ID • The last 24 weeks of Remittance Advices will be available • Troubleshooting: If you are unable to access this area of the Provider Web Portal, please update or have an office administrator update your user privileges by going to Manage Users->Update or Remove Users.

  9. Navigating the Provider Web Portal: User Administration • Provider Tip: Always have more than one office administrator if possible. Only an office administrator can reset a password, or add, update or remove a user.

  10. Navigating the Provider Web Portal: Provider Demographics • Only office administrators have access to update Provider Demographics. • Update Possibilities for Pay-To Providers Only • DBA Name • Provider Phone and Fax Number • Provider Email • Provider Physical Address • Provider Payment Address • Provider Correspondence Address

  11. Navigating the Provider Web Portal:Ask Wyoming Medicaid • Quick, easy way to submit a question regarding: • Claims • Client Eligibility • EDI Services • Provider Web Portal Troubleshooting • Wyoming Medicaid Policy. • Great way to receive a response back in writing • Responses are not immediate

  12. Provider Web Portal Tutorials • Many tutorials exist on the Wyoming Medicaid website for the Provider Web Portal • Provider Web Portal Tutorials • http://wymedicaid.acs-inc.com / Click on Provider / Web Portal Tutorials • They include: • Provider Web Portal Registration • LT101 Inquiry • PASRR • 278 Prior Authorization Electronic Submission • Claims Maintenance and RA Retrieval • TPL & Medicare Secondary Claims • Institutional • Professional

  13. Resources • Wyoming Medicaid Website – http://wymedicaid.acs-inc.com • Provider Manuals and Bulletins • Click on Provider / Provider Manuals and Bulletins / Select Provider Type / CMS-1500 Provider Manual or Institutional Manual / Section 8.5.2 – Web Portal • EDI Services • 1.800.672.4959 Option 3 • 9-5 MST Monday – Friday • EDI Enrollment Form • Provider Web Portal Registration • Technical Support for Provider Web Portal • Provider Web Portal Training • Password Resets

  14. Questions?

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