POWER Account Visa debit card

Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect POWER Account Visa® debit card Healthy In...
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Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

POWER Account Visa® debit card Healthy Indiana Plan (HIP) 2016 Annual Workshop

Agenda • • • • • • • • • •

POWER Account Visa debit card First step – eligibility verification Eligibility and Benefits Results screen Balance Transfer form Transferring funds Confirmation page Collecting payment POWER Account balance Claims submission Covered and excluded services Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

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POWER Account Visa debit card Your Anthem Blue Cross and Blue Shield (Anthem) patients enrolled in HIP will receive a POWER Account Visa debit card. This new debit card will allow you to collect payment immediately for rendered services. You’ll use the Eligibility and Benefits Inquiry function in Availity to collect payment based on services rendered. Simply 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. Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

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POWER Account Visa debit card (cont.)

Sample of the POWER Account Visa debit card for Anthem HIP members – Ask your patients to present their debit card and Anthem member ID card for appointments.

Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

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First step – eligibility verification As always, the first step is ensuring your patients are eligible for HIP benefits. In Availity, select Patient Registration from the top menu bar, then Eligibility and Benefits Inquiry from the drop-down menu. Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

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Eligibility verification Once you select the Eligibility and Benefits Inquiry link, the New Request page will appear, prompting you to input provider and patient information. For Patient ID, you can input the Anthem ID number or the state recipient identification number (RID) to verify eligibility. The HCID prefix, or YRK, must be entered with the member ID or as a prefix to the RID. Select Submit. Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

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Eligibility and Benefits Results screen When eligibility is verified, the Eligibility and Benefits Results screen will appear with your patient’s information and POWER Account balance. Select Complete Health Indiana Power Account Balance Transfer Form to continue. POWER Account balance

Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

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Eligibility and Benefits Results screen (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. Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

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Balance transfer form: Provider information verification Next, select your Organization, Tax ID, the Servicing Provider and Place of Service. Then, choose Continue. Important: The Servicing Provider must be the same provider submitting the claim.

Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

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Balance transfer form: Billing code entry (up to eight codes) For all rendered nonpreventive services, enter Procedure Code, Modifiers, if necessary, Units and Billed Amount. Select Continue.

Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

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Balance transfer form: Code verification and preventive service check The form will now show the contracted allowable amounts for all rendered services. You can also unselect any codes you don’t want included in this transaction. Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

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Balance transfer form: Code verification and preventive service check (cont.) Note – codes for preventive services will show as invalid in the highlighted section since these services cannot be charged to the POWER Account. To go back and correct any invalid codes, select Previous. When ready, select Continue. Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

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Transferring funds To get the Maximum Allowable Amount Total, choose the copay from the Member’s Copay menu. When finished, select Transfer Funds to Patient Debit Card.

Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

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Confirmation page and member receipt Once the transfer form is submitted and approved, the following screen will open, showing the amount transferred to the card and your patient’s new POWER Account balance. Next, swipe the card to collect payment. Be sure to collect your patient’s copay. Select Print for a hard copy for your patient. Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

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Collecting payment For the final step, swipe the debit card to collect payment. • The card can be used as a debit card or a credit card. • The transaction should be completed on the same date of service. • Funds not collected on the same date of service may no longer be available on the debit card. • Transactions are limited to $500 per transfer and $1,000 per day. • Standard transaction fees may apply. Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

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POWER Account balance Example: • Balance is $100, and the maximum allowable amount is $46.80 o The full amount of $46.80 is transferred to the debit card o $53.20 balance remains in the member’s POWER Account

Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

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POWER Account balance (cont.) Example: • Balance is $100, and the maximum allowable amount is $240 o Only $100 is transferred to the debit card for payment o $0 balance is in member’s POWER Account o Remaining $140 remitted via standard claims submission

Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

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Claims submission Important: After processing 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 if the maximum allowable amount exceeds the member’s POWER Account balance Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

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Covered and excluded services The POWER Account Visa debit card should be used for covered medical and dental benefits, except for the following: • Copays due by the member • Preventive health services • Hospital services, both inpatient and outpatient • Transportation • Pharmacy services

Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

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Questions You can review our training and reference materials at anthem.com/HIPdebitcard For more information about the HIP POWER Account Visa debit card, contact your Provider Relations representative, or call Provider Services at 1-800-345-4344. www.anthem.com/inmedicaiddoc • 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-0857-16 October 2016 Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

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