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Texas Edition  •  November 2020
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Provider Portal Enhancement - Claims Entry
Provider Portal Enhancement - Claims Entry

MCNA's Provider Portal is a great all-in-one tool for our providers and their office staff. We are excited to announce the release of an enhanced claims entry feature that has been designed to further simplify the claims submission process for your office. This new feature automatically pulls approved pre-authorizations for a member and allows you to add treatment codes to your claim with a single click.

There is no special process for getting started. Simply log in to your Provider Portal account at https://portal.mcna.net/ and go to the claim entry screen. Once you have entered a member's information and it is verified, our system will automatically check for all approved, non-expired pre-authorizations for that member. If a pre-authorization exists, a ...

MCNA Updates
Provider Portal Enhancement - Claims Entry

MCNA's Provider Portal is a great all-in-one tool for our providers and their office staff. We are excited to announce the release of an enhanced claims entry feature that has been designed to further simplify the claims submission process for your office. This new feature automatically pulls approved pre-authorizations for a member and allows you to add treatment codes to your claim with a single click.

There is no special process for getting started. Simply log in to your Provider Portal account at https://portal.mcna.net/ and go to the claim entry screen. Once you have entered a member's information and it is verified, our system will automatically check for all approved, non-expired pre-authorizations for that member. If a pre-authorization exists, a new dialogue box will appear on your screen containing detailed information for you to review.

Once a pre-authorization dialogue box appears, follow these steps to take advantage of this automated process:

  1. To add the pre-authorization to your claim, click on the Pre-populate button. If you wish to proceed without pre-populating your claim with the information, you can do so by clicking on Skip.
  2. When you choose to pre-populate your claim, you will see all CDT codes and other information associated with the approved pre-authorization number on your claim entry screen.
  3. To complete the claim, you will need to enter the date of service and procedure fee for each CDT code listed.
  4. You will have the option to remove any of the CDT codes from the pre-authorization if you do not wish to submit them with your claims, or add CDT codes that are not a part of the pre-authorization.
  5. To add additional CDT codes, click on the Add Additional Procedure button at the bottom of the claim screen.

If you choose to remove some of the treatment codes associated with a single approved pre-authorization, they will still be available to use on a future claim. The next time the member's information is entered on the claim entry screen, the remaining CDT codes from that pre-authorization will be displayed for pre-population of your claim. Please call our Provider Hotline at 1-855-776-6262 (8 a.m. to 7 p.m., Central Time, Monday through Friday) if you have any questions about this new feature.