CCAI PROVIDER PORTAL MANUAL

CCAI PROVIDER PORTAL MANUAL

The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals, claims and eligibility information.

Access the CCAI website by typing https://ccaiportal.chicagolanddrs.com/index.asp

Protected Health Information:• Protected Health Information (PHI) is information that identifies an

individual and describes his/her medical condition or treatment.• PHI specifically includes:

– Clinical information– Information on payment– Basic demographic information– Name, address and telephone number

• Patient authorization is required to disclose PHI for a purpose other than treatment, payment and support of practice operations.

• Please be aware that the portal contains PHI. Please disclose PHI only for authorized representatives and purposes.

Accessing the Provider Portal:

Review the “Registered User” Agreement:

HOME PAGE:

You may wish to bookmark this page on your computer so that you can have ready access to the Portal.

To bookmark this page:

Type your user name and type your password, which is case sensitive.

If you require a password reset, call Kate at 773-868-2002.

How to Use the Provider Portal Main Menu:

Patients can be searched by last name, member ID, and date of

birth. However, when searching, use only ONE field.

Just type the numbers for BCBS members. The XOH prefix is not required.

You cannot search for Medicaid ID numbers; you must use the CCAI identification number.

The asterisk symbol (*) is used as a wild card and will bring back any result similar to the search criteria.

Use the format mm-dd-yyyy to search for a patient by Date of Birth.

Tips for Eligibility Searches:

If the member has been terminated, a date will show in the Term Date field.

Under the Eligible column, Elig?, a NO will appear if the member is ineligible and YES will appear if the member is currently effective. For more information about the patient, point to the member you searched for and click that member.

Referral History:

Claims History:

New Referral:

Provider Directory: The list of providers to whom referrals can be sent. The list can be searched by specialty or provider name.

Referral Reprint:

• Enter the referral number you wish to print and select OK.

My Refs/Auths: This screen allows a provider to search referrals that they have issued to another physician/entity.

Refs/Auths Sent to Me:

Upload Claim File: A provider can upload a claim file to the website here.