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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.chicagola nddrs.com/index.asp

CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

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Page 1: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

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 typinghttps://ccaiportal.chicagolanddrs.com/index.asp

Page 2: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

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.

Page 3: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

Accessing the Provider Portal:

Page 4: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

Review the “Registered User” Agreement:

Page 5: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

HOME PAGE:

Page 6: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

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

To bookmark this page:

Page 7: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

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

If you require a password reset, please email us at:

[email protected]

Page 8: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

How to Use the Provider Portal Main Menu:

Page 9: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

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

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

Page 10: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

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

You cannot search for Medicaid ID numbers; you must use the FHN 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:

Page 11: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

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.

Page 12: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,
Page 13: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

Referral History:

Page 14: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

Claims History:

Page 15: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

New Referral:

Page 16: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,
Page 17: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,
Page 18: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

Provider Directory: The list of providers to whom referrals can be

sent. The list can be searched by specialty or provider name.

Page 19: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

Referral Reprint:

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

Page 20: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

My Refs/Auths: This screen allows a provider to search referrals that

they have issued to another physician/entity.

Page 21: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

Refs/Auths Sent to Me:

Page 22: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

Upload Claim File: A provider can upload a

claim file to the website here.

Page 23: CCAI PROVIDER PORTAL MANUAL The CCAI provider portal is a web-based software module that allows physician and contracted practices to access referrals,

Imported Claims. Coming Soon.

EOB/Payment History. Coming Soon.