MO HealthNet Internet Provider Training Program Presented by the Provider Education Unit

1. MO HealthNet Internet Provider Training Program Presented by the Provider Education Unit MO HealthNet Division Mo HealthNet Division

2. Proper Completion of the Online Medicare Part B of A Crossover Claim Presented by the Provider Education Unit MO HealthNet Division Mo HealthNet Division

3. To file a claim go to the Internet Web site www.emomed.com and log on. This will bring up the eProvider Home Page. At the top of each page is a “Help” button in the form of a question mark. You can print out field-by-field instructions. MO HealthNet Division

4. User ID Password Mo HealthNet Division

5. User ID Password Mo HealthNet Division

6. CLAIM MANAGEMENT MO HealthNet Division

7. NEW XOVER CLAIM MO HealthNet Division

8. MEDICARE UB-04 PART B PROFESSIONAL MO HealthNet Division

9. PARTICIPANT DCN PARTICIPANT LAST NAME PARTICIPANT FIRST NAME PATIENT ACCOUNT NUMBER PARTICIPANT MEDICARE ID (HIC) MO HealthNet Division

10. PARTICIPANT DCN PARTICIPANT LAST NAME PARTICIPANT FIRST NAME PATIENT ACCOUNT NUMBER PARTICIPANT MEDICARE ID (HIC) MO HealthNet Division

11. PARTICIPANT DCN PARTICIPANT LAST NAME PARTICIPANT FIRST NAME PATIENT ACCOUNT NUMBER PARTICIPANT MEDICARE ID (HIC) MO HealthNet Division

12. PARTICIPANT DCN PARTICIPANT LAST NAME PARTICIPANT FIRST NAME PATIENT ACCOUNT NUMBER PARTICIPANT MEDICARE ID (HIC) MO HealthNet Division

13. PARTICIPANT DCN PARTICIPANT LAST NAME PARTICIPANT FIRST NAME PATIENT ACCOUNT NUMBER PARTICIPANT MEDICARE ID (HIC) MO HealthNet Division

14. MEDICARE PROVIDER NPI PERFORMING PROVIDER NPI DIAGNOSIS CODES TYPE OF BILL SAVE CLAIM HEADER MO HealthNet Division

15. MEDICARE PROVIDER NPI PERFORMING PROVIDER NPI DIAGNOSIS CODES TYPE OF BILL SAVE CLAIM HEADER MO HealthNet Division

16. MEDICARE PROVIDER NPI PERFORMING PROVIDER NPI DIAGNOSIS CODES TYPE OF BILL SAVE CLAIM HEADER MO HealthNet Division

17. MEDICARE PROVIDER NPI PERFORMING PROVIDER NPI DIAGNOSIS CODES TYPE OF BILL SAVE CLAIM HEADER MO HealthNet Division

18. MEDICARE PROVIDER NPI PERFORMING PROVIDER NPI DIAGNOSIS CODES TYPE OF BILL SAVE CLAIM HEADER MO HealthNet Division

19. DATE OF SERVICE PROCEDURE CODE MODIFIERS REVENUE CODE NATIONAL DRUG CODE DECIMAL QUANTITY MO HealthNet Division

20. DATE OF SERVICE PROCEDURE CODE MODIFIERS REVENUE CODE NATIONAL DRUG CODE DECIMAL QUANTITY MO HealthNet Division

21. DATE OF SERVICE PROCEDURE CODE MODIFIERS REVENUE CODE NATIONAL DRUG CODE DECIMAL QUANTITY MO HealthNet Division

22. DATE OF SERVICE PROCEDURE CODE MODIFIERS REVENUE CODE NATIONAL DRUG CODE DECIMAL QUANTITY MO HealthNet Division

23. DATE OF SERVICE PROCEDURE CODE MODIFIERS REVENUE CODE NATIONAL DRUG CODE DECIMAL QUANTITY MO HealthNet Division

24. DATE OF SERVICE PROCEDURE CODE MODIFIERS REVENUE CODE NATIONAL DRUG CODE DECIMAL QUANTITY MO HealthNet Division

25. BILLED CHARGES DAYS/UNITS BILLED PAID AMOUNT SAVE DETAIL LINE TO CLAIM MO HealthNet Division

26. BILLED CHARGES DAYS/UNITS BILLED PAID AMOUNT SAVE DETAIL LINE TO CLAIM MO HealthNet Division

27. BILLED CHARGES DAYS/UNITS BILLED PAID AMOUNT SAVE DETAIL LINE TO CLAIM MO HealthNet Division

28. BILLED CHARGES DAYS/UNITS BILLED PAID AMOUNT SAVE DETAIL LINE TO CLAIM MO HealthNet Division

29. DATE OF SERVICE PROCEDURE CODE MODIFIERS REVENUE CODE MO HealthNet Division

30. DATE OF SERVICE PROCEDURE CODE MODIFIERS REVENUE CODE MO HealthNet Division

31. DATE OF SERVICE PROCEDURE CODE MODIFIERS REVENUE CODE MO HealthNet Division

32. DATE OF SERVICE PROCEDURE CODE MODIFIERS REVENUE CODE MO HealthNet Division

33. BILLED CHARGES DAYS/UNITS BILLED PAID AMOUNT SAVE DETAIL LINE TO CLAIM MO HealthNet Division

34. BILLED CHARGES DAYS/UNITS BILLED PAID AMOUNT SAVE DETAIL LINE TO CLAIM MO HealthNet Division

35. BILLED CHARGES DAYS/UNITS BILLED PAID AMOUNT SAVE DETAIL LINE TO CLAIM MO HealthNet Division

36. BILLED CHARGES DAYS/UNITS BILLED PAID AMOUNT SAVE DETAIL LINE TO CLAIM MO HealthNet Division

37. FILING INDICATOR PAID DATE OTHER PAYER ID OTHER PAYER NAME MO HealthNet Division

38. FILING INDICATOR PAID DATE OTHER PAYER ID OTHER PAYER NAME MO HealthNet Division

39. FILING INDICATOR PAID DATE OTHER PAYER ID OTHER PAYER NAME MO HealthNet Division

40. FILING INDICATOR PAID DATE OTHER PAYER ID OTHER PAYER NAME MO HealthNet Division

41. PAID AMOUNT TOTAL DENIED AMOUNT RA REMARK CODES SAVE OTHER PAYER DATA AND MANAGE CODES MO HealthNet Division

42. PAID AMOUNT TOTAL DENIED AMOUNT RA REMARK CODES SAVE OTHER PAYER DATA AND MANAGE CODES MO HealthNet Division

43. PAID AMOUNT TOTAL DENIED AMOUNT RA REMARK CODES SAVE OTHER PAYER DATA AND MANAGE CODES MO HealthNet Division

44. PAID AMOUNT TOTAL DENIED AMOUNT RA REMARK CODES SAVE OTHER PAYER DATA AND MANAGE CODES MO HealthNet Division

45. ASSOCIATED LINE ITEMS CLAIM GROUP CODE CLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT MO HealthNet Division

46. ASSOCIATED LINE ITEMS CLAIM GROUP CODE CLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT MO HealthNet Division

47. ASSOCIATED LINE ITEMS CLAIM GROUP CODE CLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT MO HealthNet Division

48. ASSOCIATED LINE ITEMS CLAIM GROUP CODE CLAIM ADJUSTMENT REASON CODE ADJUSTMENT AMOUNT MO HealthNet Division

49. CLAIM GROUP CODE CLAIM ADJUSTMENT REASON CODE SAVE CODES TO OTHER PAYER ADJUSTMENT AMOUNT MO HealthNet Division

50. CLAIM GROUP CODE CLAIM ADJUSTMENT REASON CODE SAVE CODES TO OTHER PAYER ADJUSTMENT AMOUNT MO HealthNet Division