◊Projected implementation dates

◊Communications  

◊Request for Proposal (RFP)

◊Overview

◊Contact the ProviderOne Office

Providers access ProviderOne at: https://www.waproviderone.org/

Note: To access ProviderOne your organization must provide you access by completing the steps outlined on our Security page.

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Projected Schedule

Medical and Nursing Home Claims Update:

Pharmacy Point of Sale Operational

About ProviderOne Implementation

Payment processing will be phased in from current systems into ProviderOne over a few years.  The first phase begins when pharmacy claims that are currently processed by a contracted vender – Affiliated Computer Services (ACS) – are processed in ProviderOne. This includes chain store pharmacies, independent pharmacies, tribal pharmacies, and those in bordering states that serve our clients.

Then, payment processing for most medical and nursing homes will be moved to ProviderOne.  This includes claims that are billed using standard medical forms, electronically through batch transaction or encounter data, or paid through prospective capitation payments.  It will affect managed care organizations, nursing homes, hospice care, hospitals, tribal health centers, physicians, regional support networks, and clearinghouses and completes Phase 1.

Then, payment processing marked for “Phase 2” will move to ProviderOne.  Those payments include the remaining medical and most of social services. These are claims billed by validating a state generated invoice by paper or telephone, billed with the provider’s own invoice and processed manually, or generated automatically without an invoice.  It will include foster parents, adult family homes, Medicaid personal care providers, adoption support providers, and other services that are paid through the Social Services Payment System, or manually.