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THE CHILDREN’S HEALTH NETWORK (TCHN) Valence User’s Manual

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Page 1: THE CHILDREN’S HEALTH NETWORK/media/files/Childrens/medical-professionals/...THE CHILDREN’S HEALTH NETWORK (TCHN) ... can download this same information to your computer to conduct

THE CHILDREN’S HEALTH

NETWORK (TCHN)

Valence User’s Manual

Page 2: THE CHILDREN’S HEALTH NETWORK/media/files/Childrens/medical-professionals/...THE CHILDREN’S HEALTH NETWORK (TCHN) ... can download this same information to your computer to conduct

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VALENCE USER’S MANUAL

TABLE OF CONTENTS

1 Table of Contents

2 Valence Overview

3 Logging In

4 Main Menu Options

5 Creating New Lists

6 Accessing Previously Entered Lists

7 Comparing Fee Schedules

8 Exporting Fee Schedules to Excel

10 Logging Off

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VALENCE

TCHN FEE SCHEDULES AND CONTRACTING TOOL

TCHN has been working with Valence Health to offer its members easy

internet based access to fee schedule information for the Managed

Care Plans and Networks that the providers participate with through

our organization. As of October 8, 2007, you can access this web-

based software to do the following:

-Display the current fee schedules for the managed care plans that you

have chosen to participate in through TCHN.

-Compare average reimbursement for each fee schedule to current

Medicare reimbursement.

-Access standard utilization for your specialty by CPT code. (Please

note, this utilization is not specific to your practice.)

-Allow you to input your practice’s unique annual utilization should it

differ from the typical specialty utilization provided. In addition, you

can download this same information to your computer to conduct your

own analysis.

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TCHN CONTRACTING TOOL

Logging In

1. Go to www.choa.org/tchn. Scroll down to “Resources for

Members” and click “View your Fee Schedules”. You will be

directed to https://velect.valencehealth.com/tchn/fs/index.asp

2. Enter

- User Name

- Password

- Click “I Accept the terms and conditions of this web site”

- Click submit

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3.

Main Menu Options

A. View sample fee schedules of typically used cpt codes

Select and Highlight your specialty name from the

table on the left, scroll down, and click the Submit

button.

B. Create New List

This option allows you to view fees not included on the

sample fee schedule.

Select and Highlight “Create New List” on the

table to the right, scroll down, and click the

Submit button.

Additionally, this option allows the opportunity to build a

List of procedure codes using your practice’s annual

volume and payor mix.

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After Selecting Create New List:

- 1) Enter first procedure code, skip procedure modifier, and

add quantity in office or facility units.

- 2) Click “Add”. The code will appear on the bottom of the

screen.

- Repeat the above steps 1) and 2) to add the rest of the

codes for your custom list.

- When you have finished

Enter a name for your list in the “Save list as” box.

Select “Continue” and you will be taken to the screen

shown on page 7 to compare your list to existing fee

schedules.

Click Main Menu to return to the Home Page.

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Accessing Previously Entered Lists

Highlight the name of the list you want to see

Click on Submit

You will be taken to a screen where you can add or

remove procedure codes (as seen on page 5)

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4. Comparing the Fee Schedules

A. Sorting the results

You may sort either by CPT code (default) or by Service Distribution; click on the button to change sort option

B. Selecting which fee schedules to compare:

The default compares your utilization to all fee

schedules. If you wish to exclude one or payor name,

click on the box next to the payor name to uncheck the

box, then click “Update.”

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The screen will refresh, showing a comparison of your utilization

between the selected fee schedules.

5.

To Export to Excel, click on the “Export to Excel” button. The

following screen may pop up:

When you see this screen, Click on “Open” or “Save”.

Please note, if your toolbar has pop-up blocking software

enabled, you will need to select “download file” to open the

spreadsheet.

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You will then be able to work with the fee schedules in an Excel

spreadsheet.

To save the excel file, click on the File menu and then “Save As…”. A

“Save As” menu will then pop up.

To save the file, first select the location where you would like the file

to be saved. To select the location, click on the down arrow next to

the “Save in” box. Double-click on the desired location then select the

folder where your file will be saved. Name the file and then select to

save it as an Excel file type. Then click “Save.”

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It is recommended that you save your fee schedules quarterly as we

have many plans that update their vaccines quarterly. These include

Aetna, Cigna and Coventry. At the minimum, you should save the fees

yearly as we have reimbursements that update yearly.

7. Logging Off

IMPORTANT:

Once you have finished your work with the fee

schedules, log off to prevent unauthorized access to this

information. You will be taken back to the sign in page.

However, it is possible to again access the TCHN

Contract site using your browser’s “Back” button. For

maximum security, please close your browser

completely before stepping away from your desk.