ProviderOne System Training

 

Provider Essentials

Frequently Asked Questions (FAQs)

 

Last Updated 11/19/09

 

 

General

Identifiers

System

Security Profiles

Security Spreadsheet

Registration

Eligibility

Claims

Client ID Numbers

Terminology

Training

 

 

General

Q:           Will slides for training be available after the course with access for review on the ProviderOne Website?

A:            The slides to this course are available now. Go to:  http://hrsa.dshs.wa.gov/providerone/SystemTraining.htm#01Essential_Provider_Essentials_MNHCR001   The eLearning version of this training is currently posted, as well.

 

Q:           Can these webinars be saved for later use, so a new employee can go through them after go live?

A:            The eLearning version of all trainings are available now and will continue to be available after go-live. The eLearning version provides you with the exact same information given in the live webinars. The only function not available in the eLearning version is the question and answer feature. However, there are FAQs posted built off of the questions sent in during the live webinars.

 

 

Identifiers

Q:           Can it be set so that the domain automatically fills in when you open screen? Or, does it have to be manually entered every time?

A:            It needs to be manually entered each time.

 

Q:           Why is the user birth date required to reset their password? And where is this information gathered from, as it is not necessary to set up the user? 

A:            This information is requested during the security set-up process. We have instructed providers to be sure and let their users know what information has been used here in the event you chose not to use the 'actual' date of birth during security set up. It is common practice to ask for this information for security purposes.

 

Q:           I have been supplied with an MSS/CBE provider number for a freestanding agency which provides only Childbirth Education classes. How would I log on to the ProviderOne Web site? I have a provider number only.

A:            The agency you work for should have had their information converted into the ProviderOne system. They would set up security for you.

                Q:           The agency I work for is my own self-operated childbirth support business. So I don’t have anything set up yet even in the “old” system due to a year-long delay in getting started.

                A:            It sounds like you may want to contact Provider Enrollment to see about enrolling with DSHS: providerenrollment@dshs.wa.gov [1-800-562-3022, options 2,4,2].

 

 

System

Q:           What is the length of time before the system timeout will occur?

A:            The system will time out after 20 minutes of inactivity.

 

Q:           How often do the passwords expire?

A:            Passwords must be changed every 120 days.

 

Q:           Is it possible to use the same password for different domains?

A:            Yes it is.

 

Q:           Will each domain expire around the same time? Also, will we be able to change the password for each domain again to the same password as the other domains?

A:            There is a 120-day password renewal requirement in ProviderOne. If all of your domains are set up at the same time, they should all expire at the same time. Or you can simply change them all at the same time by choice, and use the password you choose.

 

Q:           What if one likes to use FireFox instead of Internet Explorer?

A:            Internet Explorer is the only Web browser supported.

 

 

Security Profiles

Q:           When one is in the provider portal, who determines what on-line services can be accessed? Would that be the company administrator or DSHS?

A:            Your security administrator in your organization assigns security roles to staff in your organization.

 

Q:           I am signed up as Security Administrator and was only given one domain, username and password. I changed my password; however, I cannot find where our other employees’ usernames and passwords are. Am I supposed to manually add them? I would not think so since we submitted a spreadsheet of employees and their email addresses and EXT options, etc.

A:            Our security team is experiencing a high volume of inquiries. Although we have expanded our number of staff, we are approximately 2 weeks behind at this time. So depending on when you sent in your spreadsheet, your security may not yet be created. You may want to contact the security team to ask. 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:           I cannot add a EXT Super User to my profile. Is this just a DSHS profile? If not, why can't I add it to my profile – as the System Admin shouldn't I be able to add this?

A:            Yes, you should be able to add that profile for yourself. You can send a question to our security team to ask: provideronesecurity@dshs.wa.gov  Please include your ProviderOne ID and the topic of your question.

 

 

Security Spreadsheet

Q:           I have set up passwords for everyone on my spreadsheet, but when the sheet was accepted, DSHS gave me a temporary password to get in and to share with the others on the spreadsheet. If each person creates their own password after logging in the first time, when would the password on the spreadsheet be used?

A:            Information regarding the security spreadsheet is beyond the scope of this course. Please E-mail provideronesecurity@dshs.wa.gov   Please place the nature of your concern in the subject line and provide them with your ProviderOne ID or tax ID.

 

 

Registration

Q:           We have three physicians in our office, but only one of them is showing in our ProviderOne web site.  How do I get the other two doctors connected to our ProviderOne site?

A:            That is a registration-related question. You may find the Registration E-learning helpful. There is a link to it, under Registration Training Materials, here: http://hrsa.dshs.wa.gov/providerone/Provider%20Training.htm#Registration_Training_Materials   Also, we will offer a Registration Readiness Webinar on 10/29 from 9 to 11 AM, and you can ask any additional questions after you review the E-learning. You can sign up for the live Registration Readiness webinar at the link under Registration Webinars at this page: http://hrsa.dshs.wa.gov/providerone/ScheduledWebinars.htm

               

 

Eligibility

Q:           Can we view food stamp eligibility on Provider One?

A:            No. ProviderOne is for health care eligibility.

 

Q:           Can pending applications be reviewed in ProviderOne? Also, can we review retro coverage applications?

A:            I recommend you take the Client Eligibility webinar. ProviderOne will only show client eligibility after they have been approved. That is also when you will be able to view retro coverage.

 

Q:           What sort of alerts will ProviderOne send to someone who is only using it to check eligibility?

A:            The alerts will be tailored to the security role you sign in with. It may alert you to a time when the client eligibility sub-system will be down for a short time for maintenance. We always try to set maintenance for very low-usage times.

 

Q:           Where would we look to see if a client has T-19 v. state-only?

A:            When you check client eligibility using the ProviderOne portal, the medical coverage group for the client will be displayed. By checking the ProviderOne Billing and Resource Guide, you will find whether the client is federally funded (Title 19). Billing instructions are at the link at the right of this Web page: http://hrsa.dshs.wa.gov/download/ProviderOne_Billing_and_Resource_Guide.html  You also may find the Client Eligibility e-Learning helpful. Here is the Provider Training Web page: http://hrsa.dshs.wa.gov/ProviderOne/Provider%20Training.htm

 

 

Claims

Q:           If a claim is keyed into ProviderOne, would we receive confirmation as an alert, in the reminders section?

A:            No. When you submit a claim, you will receive a Transaction Control Number (TCN). That indicates that your claim has been sent and received.

 

 

Client ID Numbers

Q:           Are all members receiving new policy numbers?

A:            Each Medicaid client will be assigned a new ProviderOne ID, which needs to be used once ProviderOne goes live. The old "PIC" numbers will not work in ProviderOne.

 

 

Terminology

Q:           What is ETRR?

A:            This is a report for managed care encounters.

 

Q:           What is the difference between a regular individual provider and a servicing-only provider?

A:            An individual provider does their own billing. A servicing provider works in a group practice.

 

 

Training

Q:           I have a large blue section on the bottom of my home page and I cannot see much of the on-line service area without scrolling down.  How do I set my display so it looks like the one you are showing?

A:            The screens you are viewing were custom designed for delivery of this training. I'm afraid the box you are referring to cannot be modified, as it is part of ProviderOne.