Provider Portal. The Contractor shall dedicate a section of its website to Provider services and is encouraged to promote the use of the Provider portal among Providers. At a minimum, the Contractor’s Provider portal must provide the following capabilities for Providers: a. Ability to submit inquiries and receive responses; b. Access to a copy of the Provider Manual; c. Access to newsletters, updates, and Provider notices; d. Access to a searchable Provider Directory; e. Ability to link to the State’s PDL; f. Ability to submit Prior Authorization requests and view the status of such requests (e.g., approved, denied, pending); g. Information about the process Providers must follow when requesting inpatient Prior Authorization; h. Ability to submit, process, edit (only if original submission is in an electronic format), rebill, and adjudicate claims electronically. To the extent a Provider has the capability, the Contractor shall submit electronic payments and remittance advices to Providers. Remittance advices must be provided within one (1) to five (5) business days of when payment is made.
Appears in 13 contracts
Samples: Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco)
