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Web Portal Alert


Web Portal Claims with Attachments
We are currently experiencing intermittent issues affecting the system's identification that an attachment was sent for a Web Portal submitted claim. In some cases, claims improperly deny for no paper attachment received within 21 days, when in fact an attachment was submitted. Please be advised that we are working diligently to resolve this issue as quickly as possible, and we apologize for any inconvenience this may cause.

If your claim is impacted by this issue because it was initially submitted electronically, we ask that providers resubmit the claim hard-copy (paper) with the attachment. Providers will be notified when this issue has been resolved. We apologize for this temporary inconvenience.

Eligibility Verification
REMINDER: When performing an eligibility verification on the secure Web Portal, the response may include references that state “limited to family planning benefit.” That statement is referring to the Family Planning Waiver benefit. As a reminder, in cases where a recipient has eligibility in multiple benefit plans, with one of the plans having a higher level of benefits (for example, Full Medicaid), the Full Medicaid plan takes precedence and more fully represents the recipient's eligibility.
Known Issues List
Please review the Known Issues and Informational Items List (Updated 3/12/2010) for details related to the MMIS.

Web Portal Overview


Florida Medicaid's Web Portal solution provides communication, data exchange, and self-service tools to the provider community. The Web Portal consists of both public and secure areas (Web pages requiring a username and password). The public area contains general information, such as program awareness, notices, and forms.

Secure Area


You can now apply to be a Medicaid provider online using the provider enrollment wizard and track your application through the process. Once you are enrolled in Medicaid, you can access your personal information using your provider number and PIN (personal identification number).

You can:
  • Update information on your provider number;
  • Download a form to update address information;
  • Perform eligibility verification;
  • Request and track prior authorization and referrals;
  • Submit and track claims;
  • Access alerts and notices; and
  • Receive Medicaid policy updates.

Training


Providers can view contact information, training schedules, and training locations using the Area Office contact page. Providers can also receive training using computer based training courses.
  
Contact Us
  • Provider Relations Phone Number:
    800-289-7799
  • Field Services:
    Option 7
  • Provider Enrollment:
    Option 4
  • Support Services
    Contact Center:
    Option 7
  • EDI: 866-586-0961


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