Using the Availity Web Portal
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1 Using the Availity Web Portal The Availity multi payer Web Portal presented by Anthem and Availity 2016 Annual Workshop
2 What we will cover Healthy Indiana Plan (HIP) overview POWER Account Visa debit card Eligibility and Benefits Inquiry Availity navigation bar Administrator dashboard Payer spaces Additional training Anthem portal/crossover Availity Web Portal support 2 2
3 HIP overview HIP was created to help fund health care benefits for adults who have traditionally been uninsured. It is an affordable health insurance program from the State of Indiana for uninsured low-income Indiana residents (ages 19 to 64). In the HIP program, the first $2,500 of medical expenses for covered benefits (excluding preventive care) is paid with a special savings account called the Personal Wellness and Responsibility (POWER) Account. The state pays most of this amount, but participants are responsible for paying a small portion of their initial health care costs, based on their income. Source: [in.gov/fssa/hip/] 3 3
4 POWER Account Visa debit card Anthem members enrolled in HIP will receive a new POWER Account Visa debit card. This new debit card gives providers the capability to collect payment immediately for rendered services: First, use the Eligibility and Benefits Inquiry function in Availity to estimate payment based on services rendered. Then, swipe the card as you would any standard debit or credit card. The amount is deducted from the member s POWER Account and paid directly to you. 4 4
5 POWER Account Visa debit card (cont.) This Card is issued by and is the property of UMB Bank, n.a., P.O. Box , Kansas City, MO 64141, pursuant to a license from Visa U.S.A. By using the Card, you agree to the Cardholder Agreement, which is sent with the Card. Each time you use the Card, you certify t hat (i) it will be used only for Qualified Purchases as described in the Cardholder Agreement, and (ii) you have not received and will not seek reimbursement for any expenses paid with the Card from any other benefit source. Card usage restrictions may apply. See cardholder materials for details. For Customer Service call: ; TTY Sample of the new POWER Account debit card for Anthem members. Ask patients to present their debit card and Anthem member ID card for appointments. 5 5
6 POWER Account Visa debit card (cont.) After collecting payment through the new POWER Account debit card, follow up by submitting the claim through the standard process using the CMS-1500 form for professional claims. Adjudication through the standard process ensures receipt of the correct amount. Receipt of payment balance notifies you if the maximum allowable amount exceeds the member s POWER Account balance. 6 6
7 POWER Account Visa debit card (cont.) The POWER Account debit card cannot be used for: Copay due by the member Preventive health services Hospital services, both inpatient and outpatient Transportation Pharmacy services 7 7
8 Eligibility and Benefits Inquiry Eligibility and Benefits Inquiry 1.Select Patient Registration on the top navigation bar. 2.Select Eligibility and Benefits Inquiry. To access the POWER Account transfer tool, submit an Eligibility and Benefits Inquiry. 8 8
9 Eligibility and Benefits Inquiry (cont.) How does the POWER Account work? Complete an Eligibility and Benefits Inquiry for Anthem On the Eligibility and Benefits Inquiry results page under the Power Account Information section, select Complete Healthy Indiana Power Account Balance Transfer Form. 9 9
10 Eligibility and Benefits Inquiry (cont.) After you select the balance transfer form link, this pop-up window will appear to remind you to collect any copays due from your patients. Copays cannot be charged to the debit card. Select Continue
11 Eligibility and Benefits Inquiry (cont.) Select your Availityregistered Organization with associated Tax ID. Availity sends the tax ID you select to Anthem, and Anthem returns the associated service providers. Select Servicing Provider and Place of Service. Select Continue
12 Eligibility and Benefits Inquiry (cont.) Enter procedure codes for real-time validation. Next, review for accuracy and select Transfer Funds to Patient Debit Card
13 Eligibility and Benefits Inquiry (cont.) Review the response to verify the correct amount has been transferred and then collect the payment
14 Availity navigation bar My Top Applications are the ones you use most frequently. Your favorite tools
15 Availity navigation bar (cont.) Select the heart symbol to choose as one of your favorite tools
16 Availity navigation bar (cont.) 16 16
17 Availity navigation bar (cont.) 17 17
18 Administrator dashboard 18 18
19 Administrator dashboard (cont.) 19 19
20 Payer spaces 20 20
21 Payer spaces (cont.) Toggle between Applications and Resources to see all available tools
22 Payer spaces (cont.) With Resources, you have Anthem-specific resources such as companion guides and links
23 Anthem portal/crossover 23 23
24 Additional training To find helpful Availity training, go to the top navigation bar and select Help then Get Trained. You will be redirected to our Availity Learning Center (ALC). Training options: Live webinars Recorded webinars Quick demonstrations Quick reference guides 24 24
25 Additional training (cont.) 25 25
![Availity Web Portal support Availity client services [1-800-282-4548]](/docs-images/79/79923493/images/26-1.jpg "Up to 24-hour response time Worked internally by our ACS team Anthem")
26 Availity Web Portal support Availity client services [ ] Up to 24-hour response time Worked internally by our ACS team Anthem providers can: Update with additional information Change main contact person for ACS to reply Ask for multiple addresses to be notified of response Attach files to support cases Reopen a closed support case within 14 days of it being closed (after 14 days, resubmit a new one)
27 Thank you Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc., independent licensee of the Blue Cross and Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. AINPEC [September 2016] Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect 27 27
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