CLAIMS SUBMISSION USING PORTAL STEPS FOR ALL SECONDARY CARE SERVICES WITH PA CODE.

CLAIMS SUBMISSION USING PORTAL STEPS FOR ALL SECONDARY CARE SERVICES WITH PA CODE.

 

 Click on claims submission.

 Select the batch number you want to work on

 A tab will display showing the summary for the batch.

 Enter the enrollee’s member number, please note this is not what you are going to input e.g. (AVH/AHL/149067/A), what you are using is 149067.

 Click on find and the details of the enrollee will display.

Input enrollee’s PA code given for service e.g., AVH/999999 make sure there is no space between your cursor and the last figure of the approval code and click on approval check.

 All services approved will be displayed on the screen.

 Input the invoice number and click on submit.

 Please note, in an event you find the portal not displaying the services, you can input them manually using the service type and adding to your bill.

 Click on submit.

 

When you are done submitting all your claims, click on claims submission.

 Scroll down to Edit and click.

 Scroll back up and select the batch number you would like to submit.

 Click on finalize, the batch number details will appear, and you have successfully submitted your claims to us.

 Please feel free to reach out to us for assistance or questions also find attached the benefit dictionary.

 Please note that for all optical, dental and referral you get your PA code from @callcentre@avonhealthcare.com.

 Thank you for choosing Avon HMO.

 Best regards,

***Name***



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