Transcript Online MCO Provider Enrollment

Online MCO Provider
Enrollment
Presented by:
Xerox State Healthcare, LLC
Provider Relations
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Purpose of Workshop
 Provider Enrollment, specialized for providers under MCOs
 Helpful Hints
 Web portal screens with helps
 Resources
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Helpful Hints
The application process requires detailed information
There are box by box instructions for the
– MAD 312 for providing services, paid by MCO, claims submitted to
MCO
– MAD 355 for providing services, billing directly to Xerox or under
MCO
Before proceeding to the portal screens, you may want to:
– Review the box by box instructions for the application, or
– Print the box by box instructions
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Click here to view
provider enrollment box
by box instructions for
MAD 312 and Mad 335
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Click here to
begin on line
enrollment
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Please select one of the three options
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Providers with MCOs
If you are providing services under an MCO, billing the MCO or receiving
a capitation and will be paid by the MCO, use the MAD 312 application
If in private practice and providing services under the MCO, you may
already have your provider identification.
If in private practice and providing services under the MCO, possibly
billing Xerox for some clients, use the MAD 335 application
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MCO providers note:
Check one of the types and one of the 3 options below
• Provide services and paid by MCO,
use Mad 312
• If private practice billing directly and
also with MCO, use MAD 335
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Before you move on
You may want to review the box by box instructions for the:
•
MAD 335 groups, MCOs, individuals who would receive payment, if
provider bills Medicaid (Xerox) directly.
•
MAD 312 Individual applicant within a group, or if paid by an MCO, such
as Behavioral Health providers
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You will receive a unique reference number on the
next screen, whether you continue or exit
You may want to gather documents to upload
attachments on subsequent screens
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One final screen to submit the application
on line, then a summary page with your
tracking number
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Resources
When online use: Ask Service Representative
[email protected]
[email protected]
Call Center 505-246-0710 or 800-299-7304
New Mexico Web Portal
• Provider Information section
• Links and FAQ section
• Provider Login section
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