Transcript SPC Phase II Education - JennyandMary

How do I access my panel/
verify eligibility?
•
•
See additional information on the roster at:
http://www.illinoishealthconnect.com/provider/qua
litytools/panelrosters.aspx.
If you have additional questions about your IHC
Panel Roster or registering for the MEDI system,
contact the IHC Provider Services Helpdesk at
1‐877‐912‐1999.
1
Step 1- Registration in Medi
 Verify that you’re enrolled in Medi at
http://www.myhfs.illinois.gov/ .
Step 1- Registration in Medi

Instructions on registering in Medi can be found at:
http://www.illinoishealthconnect.com/files/downloads/MEDIAccessRegistratio
n.pdf
Step 2- Accessing Your Panel

Once registered, you will be able to access your patient roster on the
main home page by clicking on the “Illinois Health Connect (IHC)”
and you will be redirected to the Illinois Health Connect Provider Portal.
From this portal, you will be able to view and print the monthly panel
roster for each location of service.
Step 2- Accessing Your Panel


Click on Provider Panel
Roster link.

PDF version: click on PDF
link you want to open/save
that version

SV version: click on CSV link
to open/save that version.
Click on ‘save as’ to save
the document for that
month. For example, name
it PR 4.09 (panel roster,
April, 2009). Previous
months are not accessible.
Step 3: Sorting Your Panel List
 Click on the square on the upper left side (between #1 and A fields)
of the document which highlights the entire document
 Click on “Data” and select “Filter”. Each column will have an arrow
which will sort the data.
 Click on the arrow & a drop down list will appear with choices.
 The sample below is for Excel, 2007.
Step 4: Checking Eligibility
 For Presence Medical Group (employed physicians)- Verify in
Epic/Meditech.
 For independent physicians- Verification in Meditech (instructions)
 Please note: Members can see PCPs in the SmartPlan Choice
without a referral.
Step 4: Checking Eligibility
 This is the main home page for the MEDI system. Click on “Internet
Electronic Claims System” (IEC) to access patient eligibility. If you
do not see IEC, you have not been given authorization. Contact the
individual who registered as the administrator.
Step 4: Checking Eligibility
 Click on “Eligibility Inquiry” to check a patient’s eligibility for Medicaid
and PCP.
Step 4: Checking Eligibility
 Enter the Begin and End Date for the days or months you are trying
to determine eligibility. Enter the patients first and last name or
Recipient (RIN) number. Click submit.
Step 4: Checking Eligibility
 In red, it will tell you if this recipient qualified for Medical Benefits
within the dates you specified on the last page. To see their PCP
click “Medicaid Data.”
Step 4: Checking Eligibility
 If there is no information as to the PCP, then this patient
is either: 1) In their 60 day window to choose a PCP or
2) is part of the Excluded population of Medicaid patients
that do not have to chose a PCP. In either case this
provider can bill for these patients.