This library contains educational documents and videos for Integrated Provider Agencies not using the CareBridge EVV solution.
Integrated Agency Portal User Guide
You have access to an enhanced read-only version of the CareBridge Provider Portal called the Integrated Agency Portal. This guide will show you how to review and confirm that the data in your EVV system matches what CareBridge has received from health plan/state partners and your EVV vendor.
DOWNLOAD ATTACHMENT
This is an 11-page PDF file.
VIDEO: Introduction to Integration with CareBridge
CareBridge provides EVV services as well as aggregation for providers using 21st Century Cures Act compliant third-party EVV solutions. If a provider has already selected an EVV vendor, CareBridge will integrate directly with that vendor at no charge.
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This is a link to a YouTube video.
Provider Portal Access for Agencies Using Third-Party EVV Solutions Guide
In order to generate claims or send data to state aggregators, data received from third-party EVV solutions must be matched against the data CareBridge receives from our MCO partners. In order to provide visibility to provider agencies when they are attempting to update data in their EVV systems, CareBridge provides portal access to view member and authorization information only. This enables Provider Agencies to validate the data within their systems.
DOWNLOAD ATTACHMENT
This is a 2-page PDF file.
VIDEO: Validating Authorizations in the Provider Portal for Integrated Provider Agencies
CareBridge enables provider agencies using a third-party EVV solution to access Authorization information inside of the Provider Portal. This allows the agency to validate that the data in their systems match the data that CareBridge receives from the health plan.
VIEW VIDEO
This is a link to a YouTube video.
VIDEO: Validating Medicaid IDs in the Provider Portal for Integrated Provider Agencies
CareBridge enables provider agencies using a third-party EVV solution to access Member information inside of the Provider Portal. This allows the agency to validate that the Member’s Medicaid IDs in their systems match the data that CareBridge receives from the health plan.
VIEW VIDEO
This is a link to a YouTube video.
Pre-Billing Checks Quick Reference Guide
CareBridge enables provider agencies using a third-party EVV solution to access Authorization information inside of the Provider Portal. This guide allows the agency to view Pre-Billing Checks, see who is responsible for resolution, and how to resolve them.
DOWNLOAD - PRE-BILLING GUIDE FOR AGG PROVIDER AGENCIES
This is a 2-page PDF file.
DOWNLOAD - NORTH CAROLINA - PRE-BILLING GUIDE FOR AGG PROVIDER AGENCIES
This is a 18-page PDF file.
New Provider/Vendor Standard Operating Procedures
A quick guide that covers the standard operating procedures for new providers and vendors.
DOWNLOAD DOCUMENT
This is a 2-page PDF file.
Prior Authorization Types
Procedure codes are categorized as always, sometimes, or never requiring a prior authorization for a service to be performed. This document outlines the criteria for prior authorizations and which codes may require them.
This is a eleven-page/345 KB PDF file. Last updated: 07/27/2023
This is a eleven-page/345 KB PDF file. Last updated: 07/27/2023
Billing Cycles and Corrected Claims
This document outlines the requirements for billing cycles and processes for corrected claims.
This is a three-page/233KB PDF file.
This is a three-page/233KB PDF file.
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