ProviderOne Readiness Series

 

Tips and Trouble Shooting for Completing ProviderOne Security

Follow-Up Frequently Asked Questions (FAQs)

 

Last Updated 11/3/09

 

 

 

 

General Security Questions

Security Profiles

Security Spreadsheet

Timing

Identifiers

Testing

Instructions

Registration

School Districts

PIC Crosswalk

Claims

Magnetic Card Readers

Billing Agents/Clearinghouses

 

 

General Security Questions

Q:      Is this accurate regarding setting up accounts per location instead of per user:  Since the website is encrypted and we are providing security locally via authentication and firewall, it is left up to the system administrator at the location how they would like to manage and setup these accounts. [

A:      Correct.

 

Q:      I need to find out the name of the person at my facility that did all this set up.

A:       Contact the security unit by email: provideronesecurity@dshs.wa.gov Give a short description of your problem in the subject line.

 

Q:      Will I be able to print the content of this webinar after it is over so I can have all the links available?

A:      You can obtain a copy of the Webinar presentation by going to the Webinar table at the following link: http://hrsa.dshs.wa.gov/providerone/ScheduledWebinars.htm  Click on the link beneath the description of this Webinar. 

 

Q:      What should we do if we’re locked out?

A:      If the system administrator is locked out, please email security unit:  provideronesecurity@dshs.wa.gov  Please send only one email per issue. State the nature of the issue in the subject line. Also include your provider ID if you have it.

Otherwise, please provide your tax ID.

 

If you are a user, your system administrator will unlock your account.

 

Q:      I have been locked out of ProviderOne as the administrator. I have left several messages and an e-mail in the last three weeks, with no call back or response. Please advise what I may do to get my access reestablished.

A:      When we announced our go-live date, our security unit was inundated with questions and issues such as yours. We have added resources to this unit to help them catch up and remain so. All questions called in or e-mailed in have been logged and are being returned in the order received. Based on what I know about how caught up they are, I expect that you will hear from someone any time now. Please do not send another e-mail or leave another voice mail. Thank you for your patience.

 

Q:      Could we get the link to registration and system administration manual? 

A:      Link to Registration and Security Administration Manual: http://hrsa.dshs.wa.gov/ProviderOne/documentation/Registration/PRR%20Desktop%20Reference%20guide.pdf  Security begins on page 119. The available profiles information is on page 138.

 

Q:      I cannot copy down the links you are showing fast enough, where can I obtain this list?

A:      You can obtain a copy of the Webinar presentation by going to the Webinar table at following link: http://hrsa.dshs.wa.gov/providerone/ScheduledWebinars.htm  Click on the link beneath the description of this Webinar. 

 

Q:      What is the support e-mail?

A:      Security support:  provideronesecurity@dshs.wa.gov   Please send one e-mail per issue and state your issue clearly in the subject line. Be sure to include your ProviderOne ID or your Tax ID, along with any other critical information.

 

Q:      Should I send another e-mail with “locked out” in the subject line?  

A:      Yes please, indicating that you are locked out in the subject line. Please include your ProviderOne ID and or Tax ID.

 

Q:      I logged onto ProviderOne a couple of days ago and updated two providers that are no longer with our practice with an end date. It showed as pending at that time. I logged in again today and it no longer shows as pending, but still shows both providers as active under our domain. Do I need to do another update?

A:      Please contact providerenrollment@dshs.wa.gov  [1-800-562-3022 select option 2,4,2]

 

Q:      RE: Step #5, we entered the wrong information earlier. We need to know how to go back and delete previously entered information and enter the correct license and license number.

A:      If your registration has been submitted and approved, then you will need to go back to that step and end-date that information. Then put in the new information.

 

Q:      Is the email site we are sending to secure? At this point, we do not have encryption and are unable to send identifiers over the network. Is there a fax to send to?

A:      The email site is secure.

 

Q:      On my largest domain, there is a message about needing to send copies of all contracts and licenses, including a copy of our business License. We are a tribal clinic on a reservation, so we do not have or need a business License. Should I send in a copy of our Core Provider Agreement?

A:      For tribes, you do not need to send in a business license. Just type in WA000 in step 5. Use the start date of your oldest location. You do not need to send in your Core Provider Agreement.  Hope this helps.

 

Q:      We received a message saying providers must be registered and select Relay Health as their clearinghouse. How do we get to this and is this our username and password to the site?

A:      I'm wondering, is Relay Health your Clearinghouse? If so, it sounds like that email came from them. They are encouraging your organization to complete registration. In step 11 of registration you indicate how your organization will submit claims.

 

Q:      Are there slides for this presentation?

A:      Yes. You can obtain a copy of the Webinar presentation by going to the Webinar table at following link: http://hrsa.dshs.wa.gov/providerone/ScheduledWebinars.htm  Click on the link beneath the description of this Webinar.

 

Q:      Will we be able to submit 837 files to a clearinghouse yet submit eligibility inquiry batch files directly?

A:      Yes.

 

Q:      I received the initial logon credentials, followed the link provided, put in credentials, and the login button did not work--nothing happened. What do I do now? 

A:      Make sure you are using Internet Explorer. ProviderOne does not respond to other browsers.

 

Q:      I use a Mac computer. Will this be a problem?

A:      You do need to use Internet Explorer.

 

Q:      We had someone here before and she set up security credentials. Is there a way I can reset everything? The lady is no longer here!

A:      Contact ProviderOne Security:  provideronesecurity@dshs.wa.gov

 

Q:      After the deadline date, can we edit the security portion to add another user, add another domain to an existing user, etc.?

A:      Yes.

 

Q:      Can't you show us the actual screen we will see and show us the steps from the actual site?

A:      Please take the security tutorial for system training:  http://hrsa.dshs.wa.gov/ProviderOne/Provider%20Training.htm    

 

Q:      Where do I find the step-by-step tutorial for testing? 

A:      http://hrsa.dshs.wa.gov/providerone/HIPAAtesting.htm

 

Q:      If one of our users does not login in within a certain amount of time, will that user be locked out of the system?

A:      Their password will expire, but they will not be locked out.

 

Q:      For our staff that checks eligibility, can she stay logged in all day, or will her access "time out"?

A:      Her access will time out after 20 minutes of inactivity.

 

Q:      If you make a mistake in the security set up, can you start over?

A:       If you make a mistake, you can go back in and make changes to that user account.

 

Q:      We have several billers. They need access to hospital claims and claims from the clinics. They all have different Domains. You just said I don't put the same person under more than one domain. Do I set them up under one domain and then go in and add other domains to their individual set up? 

A:      You can set a person up in each domain they need access to. Use one spreadsheet per domain. Put a user on a spreadsheet only once and check multiple profiles if necessary.

 

 

Security Profiles

Q:      How do you set up provider file maintenance?

A:      Please use the ProviderOne Registration and Security Administration Manual:  http://hrsa.dshs.wa.gov/ProviderOne/Provider%20Training.htm

 

Q:      How can I find out who the system administrator and provider file maintenance profile people are for my facility?

A:      Go to http://hrsa.dshs.wa.gov/ProviderOne/   Click on Security and open the link to Security Profiles. Read the definition for these two users for determination.

 

Q:      Is it okay to have just one person who is the administrator, maintains and submits the claims? We're a small outfit.

A:      It is ok. However, we do recommend you set up a backup security administrator.

 

Q:      How do you set up a super user?

A:      Please use the Security Administration Manual:  http://hrsa.dshs.wa.gov/ProviderOne/Provider%20Training.htm

 

Q:      So, if I'm the one who does everything as far as billing, would set myself up as the Security Administrator and SuperUser, and then assign another person as a Backup Security Admin person in the event I'm not available, yes?

A:      Yes.

 

Q:      If I have set up users but I do not have the option to select provider file maintenance how do I get that set up?

A:      Registration and Security Administration Manual, page 119: http://hrsa.dshs.wa.gov/ProviderOne/Provider%20Training.htm

 

Q:      How do you set up a system administrator profile?

A:      For temporary credentials (security credentials, taxonomy tool, client crosswalk):  https://fortress.wa.gov/dshs/npicaphrsa  For tutorials and Security administration manual: http://hrsa.dshs.wa.gov/ProviderOne/Provider%20Training.htm 

 

Q:      So we go into that trial account and set up our system administrators and file maintenance, and then we are ready to go to the next step, right?

A:      That is correct.

 

Q:      Can I give myself system admin, super user and provider file maintenance profiles?

A:      Yes. Please set up a secondary system administrator as well.

 

Q:      I have reached the point where I can log on and select either EXT Provider System Administrator or EXT Provider File Maintenance. Have I completed the Security Phase of the process?

A:      That depends on whether you have other people in your organization who will need access to ProviderOne. For example, if someone in your organization will access ProviderOne to inquire about Client Eligibility, that person will need one of the profiles that allow that task. In order to view and download your RA, someone will need the profile that allows for that task. The two profiles you mentioned earlier only allow your organization to complete the registration step. The following will take you to the list of profiles available and what tasks can be accomplished under each profile: http://hrsa.dshs.wa.gov/providerone/Security.htm   

Q:      Thank you for the answer. I am the only one using any of the system; no other users. I am currently stuck on a couple of the 18 steps, and assume I will learn more about this step in the registration webinar rather than this security webinar?

A:       Since you are the only user in your organization, you can assign yourself the System Administrator and Super User profiles, and that will cover your security access for all tasks you’ll need to accomplish. You might consider setting up someone else in your organization as a secondary System Administrator in the event you accidentally lock yourself out. Yes, you should be able to get answers about registration during the registration webinar.

 

Q:      How do I assign profiles?

A:      Link to Registration and Security Administration Manual:  http://hrsa.dshs.wa.gov/ProviderOne/documentation/Registration/PRR%20Desktop%20Reference%20guide.pdf  Security begins on page 119. The available profiles information is on page 138.

 

Q:      How many EXT Provider System Administrators are allowed? The website seemed to indicate that it was limited to one, but I have heard twice now that we should have a backup person with that role. 

A:      Your organization should determine how many system administrators you need. The system will not limit.

 

Q:      Why do I not see the EXT Super User as an option when I am assigning profiles?

A:      Have you scrolled to the bottom of the list?

 

Q:      Do you log in under your individual user to set your profile, or the dummy/temp credentials?

A:      Use the temporary account to set up your system administrator. Then use your system administrator account to set up the rest of your users.

 

Q:      I am at the step where you change the profile from provider system admin to EXT provider file maintenance and click go. I dropped it down and was not given that choice to select

A:      Either the EXT provider file maintenance profile has not been assigned to you yet or you are logging in with the temporary password.

Q:      Thank you for the information regarding the Crosswalk document. However, I have tried this applet, entered my DSHS provider number and Tax ID number, and access is denied.  I have routed questions to Registration, who confirmed my numbers as correct, yet I still cannot access this crosswalk. Any direction you can provide would be appreciated.

A:      Please email our Security unit:  provideronesecurity@dshs.wa.gov  Please type your issue in the subject line and provider the security unit with your provider number and Tax ID. They will look this information up and get back to you.

 

Q:      I set myself as the system administrator, but now cannot get into the file management rights. How do I get back in?

A:      Go back in as the system administrator and assign the File Management profile to your account.

 

Q:      If you are the system administrator and the biller, do you need to be set up as a different user than the administrator?

A:      Yes. You will need to assign a profile that allows you to complete this function. Here is the list of profiles and the types of transactions that can be done with each:  http://hrsa.dshs.wa.gov/ProviderOne/Provider%20Training.htm#Security_Training_Materials    click on Security and then click on ProviderOne Security Profiles. You only need one user account for yourself.

 

Q:      How can I view whether I successfully gave more than one set of privileges to my secretary?  

A:      1. Have her log in and look for her profile list.  2. Go into her user account and see what profiles are assigned to her.

 

Q:      Can we assign multiple profiles in one domain? 

A:      Yes. 

 

Q:      Don't I have to "approve" before being able to add profiles?

A:      Yes. You approve the user account, then you assign the profiles and approve those.

 

Q:      How do you assign the profile to a user?

A:      I recommend you take the security system training webinar, either live or the eLearning format. You can access the training at the following link: http://hrsa.dshs.wa.gov/ProviderOne/Provider%20Training.htm   

 

Q:      Would a 2-person operation just use the "EXT Super User" profile and the system administrator?

A:      This is up to your organization. Those two profiles would cover all of the activities than can be performed in ProviderOne.

 

 

Security Spreadsheet

Q:      Do the people on my spreadsheet have to set up a new password for themselves, or can they use the one I've setup for them?

A:      They need to change their password.

 

Q:      I need to register about 150 users. How many times can I submit the security spreadsheet for the same domain? Also, do I need to assign the system administrator on a separate security spreadsheet, or can I use the same one as for registering other users?

A:      For the same domain – as many times as you want. Remember you can only use the spreadsheet to create a new user. The system will skip over someone's name that is put on the spreadsheet more than once. You can use the same spreadsheet to set up the system administrator.

 

Q:      If we use the spreadsheet to register, how do users obtain passwords?

A:      Passwords are sent by e-mail to the person who sent in the spreadsheet. It typically takes 2 or 3 days.

 

Q:      When do the security spreadsheets need to be submitted by?

A:      We recommend the spreadsheets be submitted as soon as you can complete them.

 

Q:      As a small school district (less than 20 providers who can bill), would we need to do the spreadsheet, or just enter providers individually?

A:      You can either use the spreadsheet or enter providers individually. It's up to you.

          Q:      Is one easier than the other?

          A:       I believe the spreadsheet is easier. Keep in mind that in the future, should you need to make any changes to your users, you will need to use the ProviderOne system.

 

Q:      What’s the cut-off date for sending the spreadsheet to DSHS?

A:       You can send the spreadsheet in until the cutoff prior to go-live. Remember, your organization may still have the registration activity to complete. I recommend you send it in as soon as you can so you have time to complete registration. Depending on how you will submit/receive transactions, you also may have EDI testing to complete prior to go-live.

 

Q:      What is the purpose of sending in the spreadsheet if we completed the security setup in ProviderOne?

A:       If your security is complete, congratulations! You do not need the spreadsheet.

 

 

Timing

Q:      If a provider has not completed the entire registration process by the go-live date, will they be able to complete it after that date?

A:      Yes.

 

Q:      How long do you estimate it will take to set up 4 users?

A:      Provider Training:  http://hrsa.dshs.wa.gov/ProviderOne/Provider%20Training.htm

 

 

Identifiers

Q:      I have more than one NPI, but when I went through security all three NPIs grouped under one domain. Is this typical?

A:      Typically each NPI is a domain. Please contact provider enrollment: providerenrollment@dshs.wa.gov  [1-800-562-3022 select option 2,4,2] 

 

Q:      We have one tax ID number, but we have an NPI number for our clinic and a separate one for our doctor. Do we need two domain names or just one? 

A:      You will set up security for the people who will access ProviderOne for your clinic's NPI.

 

Q:      I do not know what my domain name is. I was sent a password but no domain name. How can I find the domain name?

A:      You will need to contact our Security Unit:  provideronesecurity@dshs.wa.gov   Please send only one email per issue. State the nature of the issue in the subject line. Also include your provider ID if you have it. Otherwise, please provide your tax ID.

 

Q:      So for every NPI within the same Tax I.D. I need to set up security files and registrations, etc., right?

A:      That is correct.

 

Q:      Is Taxonomy our Tax ID number?

A:      No. Taxonomy is the number that represents your Provider Type, specialty and subspecialty.

 

Q:      Are our Provider Domain Name, your username, and your password all determined by your organization?

A:      Your domain name is issued by DSHS. Your username and password are determined by your system administrator.

 

Q:      Is the ProviderOne ID the same as the Domain name?

A:      In 99% of cases, yes.

 

Q:      When I went online to check my taxonomy and NPI information, it said that there was no information available…

A:      The following is a link to the applet where you access your security credentials, Taxonomy tool, and Client Crosswalk:  https://fortress.wa.gov/dshs/npicaphrsa

 

Q:      Define “taxonomy.”

A:       Taxonomy identifies your provider type, specialty and subspecialty. It is 9 digits plus an X – 10 characters all together.

 

Q:      Could you explain the temporary password again – where you said it gets sent scrambled and then you need to set up a new password? 

A:      When you set up a user, you give them a password. The system takes that password and scrambles it and sends a new one to the email address you assigned that user. However, after you approve their account, if you go back in and assign them another password, the system will not send that scrambled password. You must send the user the password you assigned them.

 

 

Testing

Q:      I believe I have everything set up correctly but cannot figure out how to send a test batch. Will that be brought up during a different webinar?

A:      Yes, in the HIPAA Batch EDI webinar.

 

Q:      Can I have the testing web link for future reference?

A:      This is the link to the document about HIPAA testing: http://hrsa.dshs.wa.gov/providerone/HIPAAtesting.htm

 

Q:      Do you have a list of clearinghouses that are currently testing with ProviderOne for EDI batch submission?

A:      This information is updated weekly. To see billing agent or clearinghouse testing status:  http://hrsa.dshs.wa.gov/providerone/documentation/BACHStatus.pdf

 

 

Instructions

Q:      The only way to get step-by-step instructions is to download the manual, correct?  Will DSHS give one on-one-training? It has been very confusing. 

A:      For specific step by step instructions on setting up security please use the tutorials: http://hrsa.dshs.wa.gov/ProviderOne/Provider%20Training.htm

 

 

Registration

Q:      What are the registration steps?

A:      Go to:  http://hrsa.dshs.wa.gov/ProviderOne/Provider%20Training.htm There is an e-learning version of registration training as well as the Registration Manual.

 

Q:      It says that we are registered, but I have not received any information on username, domain and password. How can I get this information again?

A:      Someone has to have received this information or your organization cannot complete registration. If you are the system administrator, I suggest you email our Security unit:  provideronesecurity@dshs.wa.gov   Please send one email per issue and state your issue clearly in the subject line. Be sure to include your ProviderOne ID or your Tax ID. If you are not the system administrator, see that person for your username, domain and password.

 

Q:      Does each user need to Register or just one in the company? We have 8 employees with access to ProviderOne.

A:      You complete registration for your organization and providers in your organization. The users we're referring to, generally speaking, are the billers, receptionists who check eligibility.  You do not complete registration for these types of users.

 

Q:      How long do I have to get my users/employees registered?

A:       Security, registration, and EDI testing must be complete prior to cutoff.

 

 

School Districts

Q:      We are a school district and provide OT, PT, and SLP services for special education students. If the special ed secretary does all the billing for the therapists under the district's NPI, do we need to set up the individual therapists as providers?

A:      No you do not.

 

Q:      As a small school district (less than 20 providers who can bill), would we need to do the spreadsheet, or just enter providers individually?

A:      You can either use the spreadsheet or enter providers individually. It's up to you.

          Q:      Is one easier than the other?

          A:       I believe the spreadsheet is easier. Keep in mind that in the future, should you need to make any changes to your users, you will need to use the ProviderOne system.

 

Q:      We plan to use Leader Services to assist us with submissions. I am not sure which profiles my internal staff will need to have, and which ones Leader will be using. Will you be talking about this?

A:      To view a list of ProviderOne Security Profiles go to:  http://hrsa.dshs.wa.gov/ProviderOne/Provider%20Training  This list provides you with the tasks that can be performed with each profile. Leader Services will set up their own security so you do not need to worry about them. Also, it's my understanding that Leader Services has been assisting school districts through these activities.

 

 

PIC Crosswalk

Q:      What is the domain to assign a user to allow access to the Crosswalk document of PIC numbers to ProviderOne numbers?

A:      The following is a link to the applet where you access your security credentials, taxonomy tool, or client crosswalk: https://fortress.wa.gov/dshs/npicaphrsa  Anyone from your organization can access this crosswalk.

 

 

Claims

Q:      After "go live," will DSHS still accept paper claims?

A:      Yes.

 

Q:      When is the training for claims? Is there a webinar for that?

A:      This link will take you to the live system webinar training schedule: http://hrsa.dshs.wa.gov/providerone/SystemTraining.htm

 

Q:      Don’t we still have to provide a copy of the EOB per claim?

A:      Yes. They can be submitted directly through ProviderOne or you can continue to mail them in.

 

Q:      When you go live, will there be a transition period where claims formatted on the previous system will still be accepted?

A:       No. Claims needs to have all ProviderOne identifiers on them at go live.

 

 

Magnetic Card Readers

Q:      Where can I ask questions about magnetic strip card readers?

A:      Optional Card Reader Website: https://www.meddatahealth.com/MedData/ProviderOne

 

Q:      Do you know how the magnetic card reader is going to display eligibility information?

A:       It prints out like a cash register receipt.

 

 

Billing Agents/Clearinghouses

Q:      How can we tell if our clearinghouse is ready for Provider One? 

A:      BA/CH testing status:  http://hrsa.dshs.wa.gov/providerone/documentation/BACHStatus.pdf