SHPBN-2016-074 Important Information about the LTC Claim Wizard
Date: 11/04/16
Reminder: Save time by using the Multiple LTC Claim Submission Wizard on the Secure Provider Portal
We’d like to remind providers of a time-saving tool on our portal: the Multiple LTC Claim Submission Wizard for recurring claims.
What is it?
The wizard feature was developed to assist Sunflower’s long term care (LTC) providers in submitting multiple recurring claims easily – saving both time and reducing errors.
Note: Providers must have an account on the Secure Provider Portal to access the claims wizard.
In addition to submitting recurring claims, providers of long-term services and supports and nursing-facility care can create member rosters based on the service location. These providers can submit claims for the following services:
HCFA 1500 Claims:
- Home Modifications
- Emergency Response System: Service Fee
- Home Delivered Meals
- Day Care Services
- Adult Day Care
- Medication Reminder
- Personal Care Worker
- PC Worker-Home Maker
- Respite Care
- MRDD Case Management, Each 15 Minutes
- MRDD Targeted Case Management, Each 15 Minutes
- MRDD Personal Care Services, Per 15 Minutes
- Habil Res Waiver Per Diem
- Day Habil Waiver Per Diem
UB-04 Claims Forms:
- Bed Hold - NF/MH home therapeutic reserve days
- Bed Hold - NF hospital reserve days
- Nursing Facility Residential
These claims submissions can be repeated daily, weekly or monthly with only minimal coding required.
If you have questions about this bulletin or other provider resources, please contact Customer Service at 1-877-644-4623.