Transcript HSConnect Training

Cigna-HealthSpring Orientation Session
HealthSpring Overview
2014 Medicare Advantage Benefits
HealthSpring Connect Office Orientation
More from Medicare. More from life.
Cigna-HealthSpring…
is a leading health service company
committed to helping our nation’s
seniors live healthier, more active
lives through personalized,
affordable and easy-to-use health
care solutions
OUR RESULTS
OUR MISSION
We are
dedicated to
improving the
health of the
communities we
serve by
delivering the
highest quality &
greatest value in
health care
benefits &
services.
 Over 2 million
seniors served
 Improved
compliance in
quality measures
by over 30%
 High quality
results with lower
medical cost
 Better customer
satisfaction
OUR BELIEF
We believe in
revolutionizing
the health care
experience for
our customers
by empowering
physicians
Continue
Delivery System Engagement
Go Deep
Go Global
Accelerate
Product Diversification & Market
Expansion
Key:
Existing Key Markets
Build
Deep Insights & Reach
2013 Inorganic Expansion
2014 Potential Expansion
Go Individual
We Develop and Manage Medical Care Delivery Systems
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2013 by Cigna.
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Cigna-HealthSpring Georgia - 2014 Service Area
Hospitals Contracted
Physicians Contracted
Primary Care Physicians
760
Specialists
3,440
Total
4,200
Hospitals
Hospitals Contracted
19
Southern Regional
Northside
Grady Memorial
Emory Healthcare
DeKalb Medical
HCA
Tenet
Gwinnett Medical
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2013 by Cigna.
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Cigna-HealthSpring’s Focus on Quality
 Cigna-HealthSpring is achieving the triple aim of better health results, improved affordability
and enhanced customer satisfaction
360 Physical
• Provides thorough
documentation of patient
history
• Prompts completion of
recognized standards of
care
• Establishes chronic
conditions
• Promotes early detection
Care Transition Team
Partnership for Quality
(P4Q)
• Provider Education
Specialist
• Provides an additional
resource at point of care
• Community Case Manager
• Focuses on preventive
care and management of
chronic conditions
• Hospital On-site Nurse
• Specialist
• Partnership for Quality
Nurse (P4Q)
• Works with Provider
offices to ensure
completion of quality
metrics
Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © Copyright 2013 by Cigna.
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2014 Atlanta Medicare Advantage Plan Comparison Grid
Examples 1 & 2
Plan Name
Cigna-Healthspring
Plan 1
Plan 2
All Plans Cover Medicare Parts A, B, and D
Star Ratings
2013 Overall Star Plan Rating
Premium (Part C plus Part D)
2013 Member Premium
Cost Sharing Descriptions
Deductible / Max Out of Pocket
Inpatient Services
Skilled Nursing Facility
Outpatient Surgery (ASC)
Emergency Room
Ambulance
Primary Care Physician
Specialty Care Physician
Diagnostic Radiology (Excluding
Tests and Procedures)
Part D Benefits
30 Day Retail
90 Day Mail
Gap Coverage
Supplemental Benefits
Dental
Vision
3.5
2.5
3.0
$0
$0
$0
$0 / $6700
$275/Day for Days 1-6 &
$0/Day for Days 7-90
$0 / $5900
$395/Day Days 1-4
$0/Day for Days 5-90
$0/$4500
$295/Day for Days 1-5 &
$0/Day for Days 6-90
$0/Day for Days 1-5 &
$25/Day for Days 6-20 &
$150/Day for Days 21-100
$25/Day for Days 1-20 &
$152/Day for Days 21-56
$0/Day for Days 57-100
$0/Day for Days 1-7 &
$25/Day for Days 8-20 &
$150/Day for Days 21-100
$300 Copay
$65
$150
$15
$45
20% Coinsurance
$65
$250
$20
$45
$250 Copay
$65
$225
$0
$35
$0-200 Copay
20% Coinsurance
$200 Copay
$3/$12/$45/$85/33%
$0/$27/$125/$245/33%
Generics Covered In Gap
$4/$7/$42/$95/33%
$8/$14/$116/$275/33%
No Gap Coverage
$0/$10/$45/$95/33%
$0/$30/$135/$275/NC
Generics Covered In Gap
Preventive
Routine & Eyewear
Allowance
Not Covered
Routine & Eyewear
Allowance
Not Covered
Routine & Eyewear
Allowance
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HSConnect Training
Need More Help?
Call the HSConnect Help Line:
866-952-7596
OR
E-mail the HSConnect Help Desk:
[email protected]
HealthSpring Connect
Features:
• Check Member Eligibility & Copay
• Check Claims Status
• Create Referrals and Pre-certifications
– In-network providers are pre-loaded in the system
– CPT codes and diagnosis codes are pre-loaded in the system
– Ability to copy & paste and/or attach documents from EMR
– Homepage will show status of referrals requests (approved or pending)
• Search a repository of all referrals and pre-certifications
• Get alerts from Cigna-HealthSpring
• 24-hour help desk available
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Activating your Account
• Once all the information has been verified and loaded, users
will receive an email notification with usernames and a link to
create a password from: [email protected] .
• If you do not receive the notification, please check any spam
or junk mail folders you may have.
Adding staff or
Forgot Password
• In your URL entry box type the address:
https://healthspring.hsconnectonline.com/HSConnect
• From the Sign-In page, click “Need an Account? click here...” You will
be directed to the “New Account Request” page to enter your
information.
Registering your HSC Account
• Enter the first and last name of the person requesting the account,
practice Phone number, as well as the email address.
Note: Failure to provide valid information could delay access to the
portal.
• Next, enter the coverage group name & description.
Coverage Group Name - Operating name and/or name used with
general public.
Coverage Group Description - The provider type of the requesting
group. Enter practitioner, facility or ancillary.
Logging in to HSConnect
• You must accept the terms & conditions, prior to entering the
portal.
Note: There have been reported compatibility issues with
HSConnect and Internet Explorer 10. This can be remedied by
enabling compatibility view.
HSConnect Home Page
• The home page will show all the navigation links for the page.
• The user logged in will display in the upper right corner.
• The 30 Most recent authorizations will populate. You can navigate through
them.
• Any important alerts will populate on the right side of the page
HSConnect Home Page
• You also will see your recent draft authorizations
(authorization started, but not submitted)
• You can click the authorization ID, to pick up where you left
off, or delete the auth.
• The right hand corner will include any pertinent
documentation under Documents and Forms.
HSConnect Home Page
• In the upper right corner, you
can click “Profile”. From here
you can:
• Update display name,
email or phone number
• View your user security
role
• View the providers loaded
in your coverage group
• Reset your password
• Request user reactivations,
deletes or adds.
HSConnect Member Search
• Select the Member Search link at the top of the Home Page. The Member
Quick Search screen displays.
• Enter a search term in at least one field. If you enter multiple fields, the
search results only display those members where all fields match.
• Member Last or First Name: Enter a full or partial name.
• Member DOB: Use with the Name to narrow the search results.
• Member ID: Enter the number with nine digits, an asterisk, and followed by
the two digit suffix. For example 123456789*01.
Note: Member ID is the preferred and most accurate search term.
• Select Search. If needed, select Reset to clear and enter new search terms.
HSConnect Member Search
• The following details apply to the search results:
• If there are more than 100 matching search results, a message
displays stating you have exceeded the current limit of 100.
• Partial name matches may display, such as Rosemary when you only
entered Mary.
• Use the First, Previous, Next, or Last links to page through the
search results if there are multiple pages.
• From the Member Search Results, select the Member ID, Member
Name, or DOB link to display that member’s profile.
HSConnect Member Search
• View the member’s demographic
information.
• Member ID: Number assigned by
HealthSpring to the member. This
number also displays on the
member’s ID Card.
• Social Security: Only the last four
digits of the member’s SSN display.
• View the member’s eligibility
information.
HSConnect Member Search
• PCP Name: Name of the member’s PCP.
This field is blank if the member is PDP
(prescription drug plan) or if the member
has not yet selected a PCP.
• PCP Region: The abbreviation for the
member’s PCP region affiliation.
• PCP Effective: Date the member became
effective with the PCP.
• Group ID: Number assigned by
HealthSpring to the benefit plan. In the
example, TN002*MA, TN = Tennessee plan,
002 = Healthy Advantage, MA = Medicare
Advantage.
• Benefit Plan: Number and name of benefit
plan.
• Status Code: Eligible or Disenrolled
• Effective: Date the member’s benefit plan
became effective.
• Expiration: Date the member’s benefit plan
was terminated. A blank field means the
benefit plan is still in effect.
HSConnect Member Search
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View the co-pays the member pays for innetwork, out-of-network, and referral
services.
Note: Select the View Additional Copay and
Plan Information link to go to the
www.healthspring.com website to select the
member’s plan and view specific details
concerning the co-pays. For example, the
Urgent Care co-pay in this example is $30, but
the co-pay is waived if admitted to the
hospital within 24 hours.
CT
ER
IP
MRI
OOP
OPS
OVP
OVS
UC
CT Scan
Emergency Room
Inpatient Stay
Magnetic Resonance Imaging
Out of Pocket Maximum
Outpatient Surgery
Office Visit PCP
Office Visit Specialist
Urgent Care
HSConnect Member Search
• (Optional) From the Eligibility section of the screen, select the view history
link to view the member’s eligibility history. This screen displays all the
enrollment segments since the member first enrolled with HealthSpring.
Note: An example of the Eligibility section is located at the bottom of the
first page on this Quick Reference Card.
• (Optional) Select the hide history link to hide this section of the screen.
HSConnect Member Search
• View the member’s recent authorizations (referrals and precertifications).
Note: This section only displays if the member’s PCP is part of your coverage
group.
• Select the Authorization ID link to display the details of the authorization.
Note: Refer to the Search for Authorizations and View Details Quick
Reference Card for more information on viewing an authorization.
HSConnect Searching Authorizations
Select the Authorization Search link at
the top of the HSConnect Home Page.
The Authorization Search screen displays.
• Select the Find Member link to
search for an authorization using the
member’s information OR,
• Enter or select a search term in at
least one field. If you enter multiple
fields, the search results only display
those members where all fields
match.
• Authorization ID: Number assigned
by HealthSpring to the referral or
precertification.
• Authorization Status: Approved,
Pending, or Denied.
• Member Last Name or First Name: It
is best to search for the member
using the member ID.
HSConnect Searching Authorizations
• Referred from or Referred to Provider:
Select Find. The Search for Provider screen
displays. Enter or select one or more of
the fields. Then select Search to display
the matching results. Select the applicable
NPI or Provider Name link for the
authorization.
• Name or NPI: Enter a partial or full
name or NPI and select from the
matching results.
• Market: Select one of the HealthSpring
markets.
• Region: Not applicable
• Specialty: Enter a partial or full
specialty code or description and
select from the matching results.
• Provider Type: PCP, Specialist, Facility,
or Ancillary.
• From Date: Starting date for the
authorization.
• To Date: Ending date for the authorization.
• Select Search. The matching authorizations
display in the Results section.
HSConnect Searching Authorizations
• Perform one of the following:
• Select an Authorization ID link to view the details for the
selected authorization (refer to the back side of this card for
more information).
• Select a Member Name link to view the details for the
member’s profile.
Note: Refer to the Locate a Member Quick Reference Card
for details.
HSConnect Searching Authorizations
• View the details for the authorization.
• (Optional) Select any of the hyperlinks to
perform other tasks related to this
authorization:
• Create a referral for this member.
• Create a precertification for this member.
• Extend the end date for an approved
referral that has not been previously
extended for up to 30 more days.
• Add additional clinical information for
a pended authorization.
• View a message from another provider on
the authorization (this task is based on the
user’s role and may not display as an
option).
• Send a message to another provider on the
authorization (this task is based on the
user’s role and may not display as an
option).
• Print the authorization or page.
• Search for another authorization.
HSConnect Enter a New Referral
If a PCP wants to send a member to see a Specialist, he
or she should complete this task for a one time visit or a
specific number of visits before making the appointment
with the Specialist.
•
Log into the HSConnect portal and accept the terms
and conditions.
Select the Enter New Referral link at the top of the
HSConnect Home Page. The Member Quick Search
screen displays.
Perform the following to select the member:
a. Locate the member for the referral.
Note: Member ID is the preferred method.
Note: If searching by Member Name, please
include, Last Name and First Name. For quicker
results, include the Member DOB. Do not include
Member ID with member name in the search.
b. Select the Member Name link from the search
results. Note: Only the members assigned to the
PCPs in your coverage group display in the search
results.
c. The Referral screen displays with the member
defaulted based on your selection. Verify you
selected the correct member.
HSConnect Enter a New Referral
(Optional) If the referral request is expedited, select the Expedite
Request link. The Expedited Request Questionnaire displays.
Otherwise, skip to the next step.
•
If the member’s health is in jeopardy, select Yes from
the drop-down list.
•
Select Done to close the questionnaire.
•
This field defaults to the PCP name that is assigned to your
login credentials. To change, enter a partial or full name or
NPI for the Referred from Provider. As you enter the name
or NPI, the matching search results display in the drop-down
list. Select the provider who is referring the member to visit a
Specialist.
Note: This field only displays the physicians in your coverage
group.
•
(Optional) Enter or select the Last PCP Visit Date.
•
Enter a partial or full diagnosis code or description in the first
Diagnosis Codes field. As you enter the code or description,
the matching search results display in the drop-down list.
Select the diagnosis applicable to the member’s condition.
•
(Optional) Enter and select additional Diagnosis Codes
(up to three additional ones) in the other blank fields.
•
Enter a partial or full specialty code or description in the
Referred to Specialty field. As you enter the code or
description, the matching search results display in the dropdown list. Select the specialty applicable to the specialist you
want the member to visit.
Note: You most likely will not know the specialty codes
initially, only the specialty descriptions. Once you use a code
repeatedly, you might memorize the code.
HSConnect Enter a New Referral
•
•
Use one of the following methods to select the
Referred to Provider or Specialist you want the
member to visit.
a. The first preference is to select a Specialist
from the Directory Providers section. Up to 15
Specialists will display in the directory results
at a time. The Specialists display
alphabetically by last name. Select the Next,
Last, First, or Previous links to page through
the search results.
b. You can also select the Search Providers
link to search directly by NPI or Name. Last
name, first name works best for name
searches.
Note: If you search by name, partial name
searches will yield results for all providers in
that specialty, for all Cigna-HealthSpring
Markets, containing that value searched.
Note: Only contracted providers will populate
search results.
c. If the specialist you want to send the member
to is non-par or out-of-network, select the
Enter
Non-Participating Provider checkbox.
Complete all the fields, including the Reason
why this member needs to go to a non-par
provider.
Once selected, the name of the Referred to Provider
displays with his or her NPI.
HSConnect Enter a New Referral
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Select one of the following options from the Type of
Visit drop-down list:
• Consult Only - single visit
• Office Visits - multiple visits
If you need to modify the Start Date and/or End Date,
enter or select the new dates.
Note: If you extend or make the dates retroactive, the
referral will most likely pend when submitted.
Enter or use the arrows to select the Number of Visits.
Note: If you extend a default (other than 0), the referral
will most likely pend when submitted. If you selected
Consult Only in Step 11, this field is 1.
Document the reason for the referral by using one or
both of the following methods:
• Enter free text Clinical Notes to document why this
request is medically necessary.
• Copy (Ctrl/C) the clinical notes from your EMR and
paste (Ctrl/V) the notes.
• Type in a statement that you will fax the clinical to
Health Services. If you select this option, reference
the Authorization ID on the fax.
• Attach the clinical information as a file. Select
Browse… to select the file. Select Upload File(s) to
attach the file to the referral.
HSConnect Enter a New Referral
• Perform one of the following:
• If you are not ready to send the
request to HealthSpring for processing,
select Save Draft.
Note: You can select the referral from
the HSConnect Home Page, under the
Drafts section to view or edit at a later
time.
• To submit the referral to HealthSpring
for processing, select Submit.
• Review the confirmation message at the
top of the screen (Approved or Pending)
and note the Authorization ID. If Pending,
HealthSpring must review for a final
determination. Note if the Service Provider
was sent a message or if you will notify
him/her manually.
HSConnect New Precertification
If you need to create a precertification to perform an
outpatient procedure or surgery for a Cigna-HealthSpring
member. This applies if the procedure is done in the office, an
ambulatory surgery center (ASC), or an outpatient hospital.
Note: You cannot create inpatient or behavioral health
precertification's in HSConnect at this time.
• Log into the HSConnect portal and accept the terms and
conditions.
• Review your Recent Authorizations or select the
Authorization Search link to find an active authorization
(Start Date/End Date range is still open) for the member.
• If you find an active authorization, select the Create a
precertification for this member link to create the
request. Skip to Step 11.
• If you do not find an active authorization, continue to
the next step.
• Select the Enter New Precertification link at the top of
the HSConnect Home Page. The Member Quick Search
screen displays.
• Attempt to locate the member for the precertification.
Since you are logged into the HSConnect portal as a
Specialist, no search results are returned (there are no
members assigned to your coverage group) and a link
displays.
• Select the Do you have a paper Referral for the
member you are searching for? link. The Green Referral
Validation screen displays.
HSConnect New Precertification
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Enter the Member ID assigned to the member by
HealthSpring.
Note: Enter the number without any spaces. Include the
first nine digits, asterisk, and the two-digit suffix.
Select the Show Provider Lookup link to search for the
member’s PCP. The Search for Provider screen displays
where you can enter a partial or full provider name or NPI.
From the results that display, select the Provider Name link
for the member’s PCP.
Select the Show Provider Lookup link to search for the
provider who is providing the precertification services (the
Specialist). The Search for Provider screen displays where
you can enter a partial or full provider name or NPI. From
the results that display, select the Provider Name link for
the Referred from Provider.
Enter or select the calendar icon for the Start Date and End
Date when the services are due to start and end.
Select Submit. The system validates the information that
you entered on the screen. If one of the entries does not
match, a Green Referral xxx Not Valid Message displays. Fix
the validation error and select Submit again. If the
validation is successful, the main Precertification screen
displays to continue with the precertification.
Note: The information you entered on this screen does not
integrate to the main Precertification screen
New Precertification
• If you have an existing authorization
you can bypass the Green Referral
Validation completely..
• Locate Existing authorization from
recent authorizations or
authorization search
• Pull up the authorization details by
clicking the authorization number.
• If you are doing a Referral, click
Create a referral for this member.
• If you are doing a Precertification,
click Create a precertification for this
member.
• Proceed to the authorization entry
screen.
HSConnect New Precertification
• (Optional) If precertification request is
expedited, select the Expedite Request
link. The Expedited Request Questionnaire
displays. Otherwise, skip to the next step.
• If the member’s health is in jeopardy,
select Yes.
• Select Done to close the
questionnaire.
• Select the Search button to select the
Referred from Provider from the list of
providers in your coverage group. Select
the Provider Name link for the provider
who is referring the member to the
Referred to Provider.
• Enter a partial or full diagnosis code or
description in the first Diagnosis Codes
field. As you enter the code or description,
the matching search results display in the
drop-down list. Select the diagnosis
applicable to the member’s condition.
• (Optional) Enter and select additional
Diagnosis Codes
(up to 3 additional ones) in the other blank
fields.
• list.
HSConnect New Precertification
•
Enter a partial or full specialty
description in the Referred to Specialty
field. As you enter the description, the
matching search results display in the
drop-down list. Select the specialty
applicable to the precertification
request.
Note: The selection in this field
determines the providers that display in
the Referred to Provider section. If the
Specialist is performing the surgery at a
hospital or ASC, enter Outpatient
Surgery or Hospital. If the Specialist is
performing the surgery at the office,
enter the name of the Specialty, such as
Cardiology or Urology.
• Select the Service Type that most
closely relates to the requested service
from the drop-down
HSConnect New Precertification
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Use one of the following methods to select the
Referred to Provider or the provider that is
rendering the requested services.
Note: If the Referred to Specialty = Outpatient
Surgery or Hospital, the Referred to Provider is the
name of the facility where the procedure or
surgery will take place.
Note: If the Referred to Specialty = an area of
medicine such as Cardiology or Urology, the
Referred to Provider is the name of the Specialist.
• The first preference is to select one of the
providers from the Directory Providers
section. The providers display alphabetically.
Select the Next, Last, First, or Previous links
to page through the results.
Note: You can also select the Search
Providers link to search directly by NPI or
Name. The provider must still be one that
would have displayed if you paged through
the results.
• The second preference is to select one of the
providers from the Extended Directory
Providers section.
• If the provider is non-par or out-of-network,
select the Enter Non-Participating Provider
checkbox. Complete all the fields, including
the Reason why this member needs to go to
a non-par provider.
Once selected, the name of the Referred to
Provider displays with the NPI. If you selected the
same provider as the Referred from Provider, the
referral may pend when it is submitted to CignaHealthSpring.
HSConnect New Precertification
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•
Depending on your selection for the Referred to
Provider, select the Place of Service (POS) or location
where the provider will perform the requested service.
Example 1: If you selected a Referred to Specialty for
Outpatient Surgery and a specific hospital for the
Referred to Provider; Inpatient Hospital, Outpatient
Hospital, and/or Emergency Room display.
Example 2: If you selected a Referred to Specialty for
Urology and a specific physician for the Referred to
Provider, the office locations for the physician display.
Note: Select the Change link to modify the POS.
Document the reason for the precertification by using
one or both of the following methods:
•
•
•
•
•
•
•
•
•
Enter free text Clinical Notes to document why this
request is medically necessary.
Copy (Ctrl/C) the clinical notes from your EMR and
paste (Ctrl/V) the notes.
Type in a statement that you will fax the clinical to
Health Services. If you select this option, reference the
Authorization ID on the fax.
Attach the clinical information as a file. Select
Browse… to select the file. Select Upload File(s) to
attach the file to the precertification.
Upload up to 5 files at one time.
Each file must be 10MB or smaller.
To remove a file before you select the Upload File(s)
button, select the remove link.
To remove a file after you select the Upload File(s)
button, select the Delete link.
Once you submit the request, you cannot delete a file
attachment.
HSConnect New Precertification
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Perform the following steps to add a CPT/HCPCS/revenue code to indicate the specific procedure request:
Select the Click Here to Add a Service or Procedure link.
Enter a partial or full CPT/HCPCS/revenue code or description in the Procedure field. As you enter the code or
description, the matching search results display in the drop-down list. Select the applicable procedure.
Select or enter the number of Units.
Select the Unit Type from the drop-down list. Be sure to review all the selections and select the correct one.
Enter or select the valid Start Date and End Date range for the precertification.
Note: The dates may default based on the selection for the Procedure field.
Select the save procedure link to add the procedure to the precertification request.
Repeat steps 19a – 19f to add additional CPT/HCPCS/revenue codes to the precertification request.
Note: Select the delete link to remove a procedure from the request that you added in error.
Perform one of the following options:
• If you are not ready to send the precertification to HealthSpring for processing, select Save Draft.
Note: You can select the precertification from the HSConnect Home Page, under the Drafts section to view or
edit at a later time.
• To submit the precertification to HealthSpring for processing, select Submit.
Review the confirmation message at the top of the screen (Approved or Pending) and note the Authorization ID. If
Pending, HealthSpring must review for a final determination. Note if the Service Provider was sent a message or if
you will notify him/her manually.
HSConnect Search & View Claims
• Select the Claim Search link at the top of
the Home Page. The Provider Claim Search
screen displays.
• Search for a claim(s) by using one of the
following search methods:
• Claim ID: Enter the claim number assigned
by Cigna-HealthSpring.
• Check Number: Enter the check number
issued by Cigna-HealthSpring for payment
on the claim.
• Member ID and Begin/End Date:
• Enter the number assigned to the
member by Cigna-HealthSpring (nine
digits, an asterisk, and two digit suffix for example 123456789*01). If you do
not know the number, select the Find
Member link to search for the
member.
• (Optional) Enter a Begin Date and End
Date range for the Dates of Service on
the claim(s) to narrow the search
results.
HSConnect Search & View Claims
• Provider and Begin/End Date:
• Select the Select Provider link. The
Search for Provider screen displays
with the providers in your coverage
group. If the provider you are looking
for does not display, select the Next
link until the provider displays. If you
work in a very large provider group,
you can use the text box to search by
provider Name or NPI.
• Select the NPI or Provider Name link
for the applicable provider.
• (Required) Enter a Begin Date and End
Date range for the Dates of Service on
the claim(s).
• Select Search. The search results display.
Note: If you searched by Member ID or
Provider and there are more than 300
claims in the search results, you must
narrow the date range.
HSConnect Search & View Claims
• Review the matching claims in the Claims Search Results
section.
• (Optional) Select any of the column headings to sort the
search results by that column heading.
• Select the link for any row on the screen to view additional
details specific to the selected claim and for the option to view
the remittance advice
HSConnect Search & View Claims
• View the Claim Details specific to the
selected claim.
• (Optional) Select the Member Name
link to view the demographic and
eligibility information for the member
on the claim.
Note: If you select this link, you cannot
return back to the claim without having
to search for the claim again.
•
View the Claim Line Items specific to
the selected claim.
•
Select the Remittance Advice link to
view the remittance advice for the
selected claim.
• (Optional) Select the Return to claim
search link to view another claim from
the original search results.
HSConnect Search & View Claims
• View the Remittance Advice Detail that displays the same
details included on the original remittance advice to the
provider.
• (Optional) Select the Print Page link to print a copy of the
remittance advice.
• (Optional) Select the Return to Claim Detail link to continue
reviewing the details for the previously selected claim.
Example ID Card