NPI is the acronym for the National Provider Identifier. The NPI is an all numeric 10 character identifier used to identify providers. Currently, health plans assign identification numbers to health care providers ¿ individuals, groups, or organizations that provide medical or other health services or supplies. The result is that providers who do business with multiple health plans have multiple identification numbers. The NPI is a unique identification number for health care providers that will be used by all health plans. Health care providers and all health plans and health care clearinghouses will use their NPI for administrative and financial transactions

The purpose of the National Provider Identifier (NPI) is to uniquely identify a health care provider's standard transactions, such as health care claims. NPIs may also be used to identify health care providers:

• On prescriptions
• In internal files to link proprietary provider identification numbers and other information
• In coordination of benefits between health plans
  In patient medical record systems
• In program integrity files
• And in other ways

HIPAA requires that covered entities (i.e., health plans, health care clearinghouses, and those health care providers who transmit any health information electronically in connection with a transaction for which the Secretary of Health and Human Services has adopted a standard) use NPIs in standard transactions by the compliance dates. The compliance date for all covered entities except small health plans is May 23, 2007. The compliance date for small health plans is May 23, 2008. As of the compliance dates, the NPI will be the only health care provider identifier that can be used for identification purposes in standard transactions

Entities who meet the definition of "health care provider", as defined at 45 C.F.R. § 160.103, are eligible to receive National Provider Identifiers (NPIs). Health care providers include hospitals, nursing homes, durable medical equipment suppliers, clinical laboratories, pharmacies, and many other "institutional" type providers; physicians, dentists, pharmacists, nurses, and many other health care practitioners and professionals; group practices, health maintenance organizations, and others.

Under the National Provider Identifier Regulation (published in the Federal Register on January 23, 2004), a health care provider who is a covered entity, as defined at 45 C.F.R. § 160.103, is required to obtain a National Provider Identifier (NPI) by May 23, 2007.

A health care provider may apply for an NPI in one of three ways:

• Apply through a web-based application process. The web address is https://nppes.cms.hhs.gov.
• Prepare and send a paper application form to the Enumerator (Fox Systems). A copy of the application form, which includes the Enumerator¿s mailing address, is available by calling the NPI Enumerator at 1-800-465-3203.
• With the permission of the health care provider, an organization may submit a health care provider¿s application in an electronic file.

Complete and submit the Provider Application for EDI Enrollment  located on the Providers already enrolled in the Colorado Medical Assistance Program page and mail to:

ACS EDI Services
Colorado Medical Assistance Program Provider Enrollment
P.O. Box 1100
Denver , Co 80201-1100

After processing, EDI Services will fax or mail your trading partner information to you. The State will follow-up on the enrollment process and send you the necessary user names and passwords for accessing the Web Portal

Please contact ACS EDI Services at 1-800-237-0757, select option 4. Monday through Friday, 8:00 a.m. to 5:00 p.m. MT for the following:

1. Electronic claim submission enrollment
2. Electronic Accept/Reject report retrieval
3. Electronic Remittance Statement/Provider Claim Report retrieval

Please contact the Provider Services Unit at 1-800-237-0757 or (303) 534-0146 Monday through Friday, 8:00 a.m. to 5:00 p.m. MT for the following:

1. Billing questions
2. Claims adjudication and payment questions
3. Questions regarding eligibility information
4. Enrollment for new Medical Assistance Program providers
5. Provider enrollment changes (i.e., change of address, tax IDs, or categories of service)

These reports can be retrieved through the File and Report Service (FRS) using the State's Provider Web Portal.

You may contact ACS EDI Services at 1-800-237-0757, select option 4. Monday through Friday, 8:00 a.m. to 5:00 p.m. MT.

The Trading Partner Administrator assigns the File and Report Service (FRS) user role to user.

1. Go to the FRS at the Web Portal main menu.
2. Click View/Download reports.
3. Look for the 077016 Provider Claim Report in the Report Types box. Either click Search or enter a date range and click Search.
4. When 077016 Provider Claim Report is not in the Report Types click Search without selecting any criteria.
5. Reports selection should display in the lower half of the page.
6. Select the report,
   • On the right side of the window, select view or download.
   • If view is selected, the report can be printed.

All reports can be viewed for 60 days. Once a report is purged, the provider must request and pay for a paper report.

The fiscal agent no longer provides replacement Provider Claim Reports (Remittance Statements) free of charge to providers. Regardless of when the request is made, there is:

1. A $2.00 per page for all hardcopy PCR requests
2. A $2.00 per page to repost the PCR to the FRS

A check for the full amount must accompany the request and be made payable to ACS before requests will be processed. Make check payable to: ACS. Mail the request to Medical Assistance Program Correspondence, P.O. Box 30, Denver, CO 80201-0030.

• Note:Please include the provider number, week of the PCR, mailing address, and to whose attention the mailing should be sent.

Allow 30 days after receipt of the check for processing your request and additional time for return mail.

The specification manuals can be downloaded from the Provider Services Specifications section of the Department's website.

Please go to Approved Vendors List (02/06)

The safest, best, fastest and easiest way to receive Medical

Assistance Program payments is through EFT. (See the first bullet under Electronic Funds Transfer (EFT) Questions to learn how to set up EFT.) EFT permanently solves paper check (warrant) problems!

You must complete the Electronic Funds Transfer (EFT) form labeled "Authorization Agreement for Automatic Deposits."

Attach an updated or current W-9 to the completed EFT form.

 

The form can either be mailed to Provider Enrollment at P.O. Box 1100 Denver, CO 80201-1100 or faxed to Provider Enrollment at 303-534-0439.

Complete the EFT form and submit.

Attach an updated or current W-9 to the completed EFT form.

The form can either be mailed to Provider Enrollment at P.O. Box 1100 Denver, CO 80201-1100 or faxed to Provider Enrollment at 303-534-0439.

Note: When changing banks or account numbers, the provider may want to leave the old bank account active until the new EFT process is completed. While the EFT update is been processed (old EFT deactivated), the Colorado Medical Assistance Program will issue a paper warrant. When the new EFT update is completed, the provider's payments will transfer to the new bank or account number. The provider should allow 30 days to complete processing.

You should call your bank.

If your bank has not received the deposit within 30 days from the paid date, please notify the Department via email at HCPFAR@state.co.us Please provide the following information in your email in order to expedite the process:

• Billing Provider Number
• Billing Provider Name
• Billing Provider Address
• Contact Name
• Contact Telephone Number
• Contact Email Address
• Date of Missing EFT (Reference to PCR Date)
• Dollar Amount
• Is this your first EFT payment from the Medical Assistance Program?
• Additional Information to help research problem.

Allow 30 days for processing your EFT request. After 30 days, check with your bank to verify that EFT has been set up. You will receive paper checks until EFT has started or until the update is active.

Please Note:The fiscal agent (ACS) does not have EFT information

Providers can find out check/warrant amounts through CMERS. Call CMERS at 303-534-3500 Denver Metro; 1-800-237-0044 Toll free Colorado and follow the prompts.

If it has been 30 days since the payment date of the check, request a check trace:

1. To request a check trace, you may call provider services at 303-534-0146 or 1-800-237-0757 (Toll-free Colorado)
2. Ask the representative for the warrant number for your records. The representative will verify if the check was not cashed or was not found.

The Department charges a fee for each check (warrant) copy request. To request a copy of a warrant send an email to the Department via: HCPFAR@hcpf.state.co.us and provide the following information in order to expedite your request:

• Provider Billing Number
• Billing Provider Name
• Billing Provider Address
• Contact Name
• Contact Telephone Number
• Contact Email Address
• Warrant Number
• Warrant Date
• Warrant Amount
• Inquiring about multiple warrants on one request is acceptable but please include all warrant information for each warrant you are requesting.

You must mail your payment, along with the above information, to the address below. Make check payable to: Department of Health Care Policy and Financing

1. The following is the charge per warrant requested:
   • Warrant Date Prior to July 1, 2003 - $9.00 per warrant requested
   • Warrant Date After June 30, 2003 - $1.00 per warrant requested
2. Or you may mail your request and check to: Dept of Health Care Policy and Finance, Accounting Department, 1570 Grant Street, Denver, CO 80203.

First request a check trace.

If it has been 30 days since the payment date of the check :

1. To request a check trace, you may call provider services at 303-534-0146 or 1-800-237-0757 (Toll-free Colorado)
2. Ask the representative for the warrant number for your records. The representative will verify if the check was not cashed or was not found.

If the check trace verifies that the check was not cashed or was not found:Send an email HCPFAR@hcpf.state.co.us to request a check to be reissued. Please provide the following information in order to expedite your request:

• Billing Provider Number
• Billing Provider Name
• Billing Provider Address
• Contact Name
• Contact Telephone Number
• Contact Email Address
• Warrant Number
• Warrant Date
• Warrant Amount
• Fax Number
• Inquiring about multiple warrants on one request is acceptable but please include all warrant information for each warrant you are requesting.

Providers may update their information (e.g., address, telephone number, email address) through the Web Portal's MMIS Provider Information screen. Once you enter your information, you should verify it the following day.

The check may have been returned to the fiscal agent (ACS).

1. Once a check is returned to the fiscal agent, your claims will deny until you update your information on the Web Portal's MMIS Provider Information screen. You may also submit updated address information on the Provider's letterhead and mail to Provider Enrollment at:
   • Colorado Medical Assistance Program
     Provider Enrollment
     P.O. Box 1100
     Denver, Co 80201-1100
   • Please see Provider Enrollment Update Information (02/07).
2. 24 hrs after the on-line update is completed, you should verify the update and notify Provider Services that your information is correct by calling 303.534.0146 or 800.237.0757 toll free Colorado.
3. Allow up to 10 working days for updates submitted on paper.
4. When you re-bill the claims, another payment/check will be issued and mailed to the corrected address.

Future checks cannot be canceled.

Call Provider Services at 303-534-0146 or 1-800-237-0757 (Toll free Colorado) for information related to AR balances.

There are several reasons for an AR balance.

1. An AR is created when claims are reversed or adjusted and the complete amount due was not recovered from the provider during the same and/or subsequent financial cycle.
2. An AR is created if a completed audit finds that a provider was paid in error and the Medical Assistance Program forwards a financial transaction requesting that the funds be recovered from the provider's future payments until paid in full.

    

Allow 30 days for processing.

If the AR balance remains after that period, email HCPFAR@hcpf.state.co.us and provide the following information to expedite your request:

• Billing Provider Number
• Billing Provider Name
• Billing Provider Address
• Contact Name
• Contact Telephone Number
• Contact Email Address
• Check Account Name
• Check Number
• Check Date
• Check Amount
• If possible, PCR date in which receivable was established.

A provider receives this letter because he/she submitted a claim that should be reimbursed but the State's payment system (COFRS) was not able to issue that reimbursement to the provider.

This can occur when:

1. The rendering provider number is used in the billing provider number field on the claim(s);
2. There is a question about a tax ID number; or 
3. The provider number has been deleted from COFRS due to inactivity (no payments have been issued from COFRS to that particular provider number in the last 24 months).

When you receive this letter, please make sure to read all of the information to help determine how to resolve your payment problem. If you are required to furnish information to the Department, please use the fax coversheet included with the letter, review all instructions listed on the coversheet, and provide all requested information. Keep all of the forms as one packet and fax them together. Please do not separate the forms.

Effective July 1, 2007, all reimbursable claims are voided from the claims system for providers whose payments cannot be issued by COFRS with the reason code description of 'Missing Names.' Please do not try to reverse claims associated with these notifications or a false payment recovery will be generated. If you cannot locate your Notification of Non-Payment letter and it has been less than 60 days from the time you should have received your payment, please send an email to hcpfar@hcpf.state.co.us requesting a replacement copy of your letter, and include the following information in your request:

You will receive the replacement letter in PDF format, via the email address provided. Once you have received your replacement letter, please follow the instructions appropriate to your situation.

If it has been greater than 60 days from the time you should have received your payment, you will need to contact ACS Provider Services at 303-534-0146 or 800-237-0757 and request a Late Bill Override Date (LBOD) for claims resubmission. A replacement copy of your Notification of Non-Payment letter is not required in this circumstance. Your request will be forwarded to HCPF for review. If your LBOD request is granted, you will receive a separate letter with claim resubmission instructions.

When contacting ACS, please have the following information available:

The referenced claims were submitted using your individual provider number when a group provider number should have been used. Effective for claims that should have been reimbursed on/after July 1, 2007, your reimbursable claims have been voided (as indicated in the previous question's answer). You will be able to resubmit claims under the correct billing provider number after 15 business days from the PCR date on which the claims show as paid/reimbursed. If you are unable to resubmit your claims successfully after 30 days, please contact ACS Provider Services at 303-534-0146 or 800-237-0757 for assistance.

Your provider number has not been used as a billing provider within the last 24 months and is no longer valid in the State Payment System (COFRS). To correct this situation, a new W-9 must be completed for the provider number indicated. If you do not have a W-9 form, you can obtain one from the forms page of the Provider Services web site. If the provider number listed represents anindividual provider, you must include yoursocial security number on the W-9. If the provider number listed represents a group provider,you must use the group'sFederal Employer Identification Number (FEIN). On the W-9, please write the referenced provider number in the 'RETURN TO ADDRESS BELOW' box and fax your W-9 to 303-605-4134 using the fax coversheet originally provided (if you no longer have the fax coversheet, please see the next question). 30 days after submitting a current W-9, the voided claims may be resubmitted. If you are unable to resubmit your claim(s) successfully after that time, please contact ACS Provider Services at 303-534-0146 or 800-237-0757 for assistance.

Updated information should be sent only if you intended to receive payment under the provider number indicated in the letter (see the previous question). Your newly submitted claims will deny until your updated information is received and your provider file is updated. After your file is updated, any claims denied because of this will be reprocessed.

If you are missing the fax coversheet that was originally provided, please prepare your own coversheet with the following information:

To: ACS
Attention: Provider Enrollment
Fax: (303)605-4134
From: *Please provide full contact name
Organization Name: *Please provide the legal name associated with the provider number
Provider # to Reinstate: *Please provide the provider number listed on the letter
Phone Number: *Please provide a contact number
Fax Number: *Please provide a fax number

Please be sure to include a copy of your Notification of Non-Payment letter (if available) and a new W-9 form. If you do not have a W-9 form, you can obtain

one from the Forms page of the Provider Services web site.

Providers who have had a payment reject because of a 'Missing Names' are immediately placed in a non-payable enrollment status by the Department, which prevents additional payments from being rejected by the State payment system (COFRS). Please follow the instructions indicated in the letter appropriate to your situation. Please also see the previous questions in this section of the FAQs.

This only applies to reason code description 'Missing Names.' The time limit to file Medicaid claims is 120 days from the date of service. For claims related to the rejected payment that were close to or at the filing limit, the Department now provides a late bill override date (LBOD) to refile claims specifically identified on the Provider Claim Report referenced in the letter. The LBOD that is issued in the Notification of Non-Payment letter cannot be used for any other claims. This letter grants the provider a 60-day timely filing extension to resubmit the affected claims.

If you are still within the 120 day timely filing limit, it is not necessary to use the LBOD.

Please reference the General Provider Information billing manual for information on the proper usage of the LBOD, which is located on the Billing Manuals page of the Provider Services web site.

Payment to the provider number indicated has been put on hold in the State's payment system (COFRS) for one of the following reasons: Provider information is inconsistent, mail has been returned to the State, or a tax levy or garnishment has been placed against your Tax Identification Number. Please send an email to hcpfar@hcpf.state.co.us with 'Notification of Non-Payment' in the Subject Line. In the text area include your provider number, the date of the Notification of Non-Payment letter and the reason identified on the letter. Be sure to include your contact information including your name, telephone number(s), business name, and email information so the Department may contact you. If you do not provide all of the requested information, it could delay the Department's response. You will receive further instructions once the Department receives all of your information.

The Medicaid Fee Schedule is available for download:

• Medicaid fee schedule instructions
• Medicaid fee schedule data file

LBOD stands for Late Bill Override Date. The provider uses the LBOD to document compliance with timely filing requirements. Only use the LBOD if you are filing a claim with dates of service older than 120 days. Providers must keep LBOD documentation on file. For example, keep a copy of the Web Portal rejection if you are using that as your LBOD date. You can use an LBOD on either an electronic claim or paper claim. The original claim must have been filed within the original Medical Assistance Program timely filing period. The LBOD cannot be greater than 60 days from the last date of adverse action (denial or return). CO-1500 - Enter the LBOD on the line item data page. UB04 - Enter the LBOD on the Claim Data page in the LB Override Date field and enter the Occurrence Code 53.

Paper claims:

CO-1500 Enter the LBOD in the Remarks box.
UB04 - Enter the LBOD in the Remarks box and use Occurrence Code 53.

Electronic claims:

837 Transactions ' Please refer to the appropriate companion guide located in the Specifications section.

A: Delay Reason Code replaces the LBOD on HIPAA compliant 837 transactions.

You will enter one of six numeric Delay Reason Codes instead of a LBOD. In notes section of the claim header, write a general description of why you are using the numeric value.

Delay Reason Codes

Submit the claim to the Medical Assistance Program fiscal agent with a copy ofthe PHP denial.

Sterilization claims - Claim must be billed on paper with the completed Med-178 form.

Hysterectomy claims - Claim must be billed on paper with the completed Acknowledgment/Certification Statement for a hysterectomy form.

Supply claims - You must indicate that you are billing the invoiced price. Submit the claim electronically using the -UB modifier.

Did you know that calling the Medical Assistance Program call center for eligibility information does not guarantee the client's eligibility?

In many instances, provider staff members spend unnecessary time on this non-guaranteed process. Other eligibility verification methods are guaranteed and both the Web Portal and FaxBack provide hardcopies for the client's file. Eligibility verification methods are listed below in the order of preferred use.

Eligibility verification should be made by:

1. Obtaining a copy of the Medical Identification (MID) card, and
2. Obtaining birth date and State ID or Social Security Number (SSN), and
3. Verifying eligibility and coverage through one of the following methods:

• State's Provider Web Portal: X12N 270 - Eligibility Inquiry
• Fax-Back: 1-800-493-0920 Toll free
• CMERS: 303-534-3500 Denver Metro; 1-800-237-0044 Toll free Colorado

Maintain copies of eligibility and coverage information in the client's file for audit purposes.

Please Note: The Web Portal, Fax-Back and CMERS cannot verify eligibility for services over 365 days old. For eligibility inquiries for services over 365 days old, providers must call Provider Services at 303-534-0146 or 1-800-237-0757 and choose the Eligibility option.

The Provider Web Portal: Providers may submit Eligibility Inquiries and Batch Eligibility. The Web Portal is available to all providers who have enrolled and received user names and passwords. Eligibility can be accessed from the Portal's main page and then by entering the required information on the Client Eligibility Inquiry and Verification screen. The Provider Web Portal is available 24 hours a day, seven (7) days a week.

Providers who have not enrolled with ACS EDI Services should do so as soon as possible. Enrollment forms are located in Enrollment in the Provider Services section of the Department's web site.

Providers who have submitted the enrollment packet to ACS EDI Services, but have not received a return response, should contact the ACS EDI Services at 1-800-237-0757, select option 4.

The State will follow-up on the enrollment process and send you the necessary user names and passwords for accessing the portal.

Web Portal Eligibility Example

Fax-Back:

Fax-Back is a phone number providers call to have an eligibility report automatically sent to the provider's fax machine. The Fax-Back eligibility phone number is 1-800-493-0920. The recorded voice prompts the caller for information and responds to the caller. One date of service can be verified at a time.

If the client is ineligible, the voice informs the provider of ineligibility and no fax is sent. Only one fax number can be affiliated with a provider number.Fax-Back Instructions and corresponding prompts can be found in the General Provider Information section of the Billing Manuals.

Get setup for Fax-Back:

Fax-Back information is located in the Provider Enrollment Application. The application is available in the Provider Services Enrollment section  of the Department's web site. Completed information can be mailed to Provider Enrollment at: PO Box 1100, Denver, CO 80201-1100. Providers may also contact Medical Assistance Program Provider Services at 303-534-0146 or 1-800-237-0757 for Fax-Back information.

Fax-Back Example

Colorado Medical Assistance Program Eligibility Response System ' CMERS:

CMERS is an automated voice response system that furnishes Medical Assistance Program eligibility information to providers who cannot access eligibility through the Provider Web Portal or who do not have a fax machine. To access CMERS call (303) 534-3500 or 1-800-237-0044. The recorded voice prompts the caller for information and responds to the caller. One date of service can be verified at a time.
Up to three (3) eligibility inquiries can be made during one phone call. CMERS Instructions and corresponding prompts can be found in the General Provider Information section of the Billing Manuals section.

Batch Eligibility is the submission and verification of eligibility for numerous clients at one time. Batch eligibility inquiries/verifications are submitted in a zip file to the Host by a third-party vendor. The third-party vendor downloads the files from the Host and verifies the response files.

Providers must bill their usual and customary charge to the Medical Assistance Program. The TOTAL CHARGES are the provider's usual and customary charges. The NET CHARGE (TOTAL CHARGES less THIRD PARTY PAID) is the payment actually received plus the contractual write-off amount.

If the THIRD PARTY PAID amount is less than the Medical Assistance Program allowable amount, the Medical Assistance Program will pay the difference up to the Medical Assistance Program allowable amount toward the other insurance copay amount.
If the THIRD PARTY PAID amount is greater than the Medical Assistance Program allowable amount, the Medical Assistance Program makes no payment.

CHP+ information is located at: http://www.chpplusproviders.com/claims.asp

1. The Trading Partner Administrator assigns the File and Report Service (FRS) user role to user.
2. Go to FRS at the Web Portal main menu.
3. Click View/Download reports
4. Look for the 077016 Accept/Reject Report in the Report Types box. Either click Search or enter a date range and then click Search.
5. If the 077016 Accept/Reject Report is not listed in the Report Types box, click Search without entering any criteria.
6. Reports selection should display in the lower half of the page.
7. Select the report,

• On the right side of the window, select view or download.
• If view is selected, the report can be printed.

Download, complete and submit all pages of the Provider Application for EDI Enrollment with the completed W-9, or an EDI update form if EDI has already been approved.

Enter the billing provider's trading partner ID # in the receiving TP ID box next to each report the provider wants billing agent to retrieve.

Note: When a billing agent is authorized to obtain reports, the provider cannot retrieve them.

If the baby and the mother are both still in the hospital, you can bill using the mother's Medical Assistance Program client ID number. If the baby is still hospitalized after the mother is discharged or if the baby is transferred to another hospital, the baby's charges must be billed using the baby's Medical Assistance Program ID number.

How to submit claims using the mother's Medical Assistance Program client ID number:

Use the mother's Medical Assistance Program client ID number. Use all of the mother's information (i.e., sex, age, and name).
Use the -UK modifier. The -UK modifier on the CO-1500 identifies the claim as the baby's.

Note: The use of the mother's Medical Assistance Program client ID number and the UK modifier only applies to charges billed on the CO-1500 for clients in the Fee for Service or Primary Care Physician Program. This does not apply to clients covered under Medical Assistance Program contracted HMOs.

The Colorado Medical Assistance Program Formulary is not a printed formulary. The Medical Assistance Program Formulary is an "open formulary" that includes most prescription drugs with some exceptions. Providers should refer to Volume 8.830 for Drug Benefits.

Information about specific drugs is available from the Prescription Drug Card System (PDCS) Pharmacy Support at 1-800-365-4944.

Providers should use place of service code 12 (home). With procedure codes S5165 and T2001 you can use either 12 (home) or 99 (other).

Enter the seven-digit NABP provider number of the pharmacy that will receive payment for these services. See the Pharmacy Billing Instructions section of The Colorado Medical Assistance Program Provider Billing Manuals.

Enter the number of days for this prescription, the estimated number of days the prescription will last.

The State's Provider Web Portal is a secured web site that is accessible from the Secured Site option at (colorado.gov/hcpf). The Web Portal is used to submit and retrieve transactions and/or reports, including Accept/Reject reports and Provider Claim Reports. You can access the portal from any computer that has internet access, 24 hours 7 days per week. The Web Portal offers a centralized database. The information in the database is secure and available only to the specified trading partner. You can store historical claims, client, and provider data on the Web Portal rather than on your own PCs. You will access the portal through secure internet connections. Centralizing the system also means that there will be fewer data inconsistencies.

Providers who have not enrolled with ACS EDI Services should do so as soon as possible. Providers must complete and submit the Provider Application for EDI Enrollment. Providers who have submitted the Enrollment Application ACS EDI Services, but have not received a return response, should contact the ACS EDI Services at 1-800-237-0757, select option 4.

The State will follow-up on the enrollment process and send you the necessary user names and passwords for accessing the portal. The Web Portal currently offers Eligibility Inquiries, Claim Status Inquiries, Batch Eligibility Inquiries, Claim Submissions, Prior Authorization Request (PAR) and Response PAR Status Inquiries, and the File and Report Service (FRS) for retrieving reports. Available enhancement services include: Provider Specialty Lookup for referral purposes, Dashboard on the Main Menu page for system and transaction status information, and Provider Inquiry/Update for updating Medical Assistance Program provider File information (e.g., address, phone number, email address). In addition, the Web Portal offers a Claim Activity Tracing Report which provides claim summary information on all claim submissions during a user-defined time frame.