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  • Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana

    Plan and Hoosier Care Connect

    The Availity multi payer Web Portal

    presented by Anthem and Availity

    2017 Annual Workshop

    Anthem Blue Cross and Blue Shield (Anthem)

  • 222

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    Agenda

    • Healthy Indiana Plan (HIP) overview

    • POWER Account Estimator Tool (screens and stops)

    • Eligibility and Benefits Inquiry

    • Availity navigation bar

    • Administrator dashboard

    • Payer spaces

    • Availity ― Online PMP Member Listing Reports

    • Additional training

    • Anthem portal/crossover

    • Availity Web Portal support

  • 333

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    HIP overview

    • HIP was created to help fund health care benefits for adults who have

    traditionally been uninsured. It is an affordable health insurance program from

    the State of Indiana for uninsured low-income Indiana residents (ages 19 to

    64).

    • In the HIP program, the first $2,500 of medical expenses for covered benefits

    (excluding preventive care) is paid with a special savings account called the

    Personal Wellness and Responsibility (POWER) Account.

    • The state pays most of this amount, but participants are responsible for paying

    a small portion of their initial health care costs, based on their income.

    Source: in.gov/fssa/hip/

    http://www.in.gov/fssa/hip/

  • 444

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    POWER Account Estimator Tool

    Effective July 2017, Anthem introduces the POWER Account Estimator

    Tool.

    Available through the Availity Web Portal, this new tool allows primary

    medical providers the capability to provide HIP members with an

    estimate for rendered medical services.

    This tool helps your HIP patients keep track of their POWER Account

    dollars and take personal responsibility for their wellness — key

    components of the HIP program.

  • 555

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    Accessing the POWER Account Estimator Tool

    The POWER

    Account Estimator

    Tool is accessed

    through the Availity

    Web Portal.

    Simply log in as

    you normally would

    to access Availity.

  • 666

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    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.

  • 777

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    Eligibility verification

    Once you select the Eligibility and

    Benefits Inquiry link, the New Request

    screen 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.

  • 888

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    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

    Create Healthy

    Indiana POWER

    Account Service

    Estimate.

  • 999

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    Provider screen

    To start the process of creating a service estimate, input the servicing

    provider information. When done, select the Services button.

  • 101010

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    Services screen

    The Services screen

    provides a simplified

    list of office visit and

    diagnosis categories

    to choose from with

    a description to

    streamline the

    selection process.

    Select one office

    visit category and

    any diagnosis

    categories that

    apply.

    When finished,

    select the Estimate

    button.

  • 111111

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    POWER Account Service Estimate

    The POWER

    Account Service

    Estimate provides

    your patients with an

    estimate of the

    services rendered

    and a new POWER

    Account balance.

    The estimate also

    shows what services

    were provided and

    how the service

    estimate process

    works.

    Remember!

    Select Print

    and present

    the estimate

    to your

    patients for

    their records.

  • 121212

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    Availity navigation bar

    Your

    favorite

    tools.

    My Top Applications

    are the ones you use

    most frequently.

  • 131313

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    Availity navigation bar (cont.)

    Select the heart

    symbol to choose

    as one of your

    favorite tools.

  • 141414

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    Availity navigation bar (cont.)

  • 151515

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    Availity navigation bar (cont.)

  • 161616

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    Administrator dashboard

  • 171717

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    Administrator dashboard (cont.)

  • 181818

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    Payer spaces

  • 191919

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    Payer spaces (cont.)

    Toggle between

    Applications

    and Resources

    to see all

    available tools.

  • 202020

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    Payer spaces (cont.)

    With Resources,

    you have

    Anthem-specific

    resources such

    as companion

    guides and links.

  • 212121

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    Anthem portal/crossover

  • 222222

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    Operational updates

    Availity — online PMP Member Listing Reports

    o PCP member: Listing_Indiana

    o New program for provider online reporting

    HIP, Hoosier Care Connect and Hoosier Healthwise reports

    will be combined into the PMP Member Listing Report.

  • 232323

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy Indiana Plan

    and Hoosier Care Connect

    Operational updates (cont.)

    Availity — online PMP Member Listing Reports

    o PCP member: Listing_Indiana

    o New program for provider online reporting

    Program name: Member Panel Listing

    Description: The PMP Member Listing Report is available to

    providers to view and download a complete list of past

    and current Medicaid members that have been assigned

    to a specific provider or group.

  • 242424

    Anthem Blue Cross and Blue Shield

    Serving Hoosier Healthwise, Healthy

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