FAQs: Patient Management | Provider Management | Billing and System
Billing and System
Q: How do I access my BreastCare WebRA?
: In order to access your BreastCare WebRA, you must login to the Medicaid website at www.medicaid.state.ar.us
and use your BreastCare legacy ID number for the log in and your tax ID for the password. You will then be prompt to create a new password. Once you are logged in you will look to the left hand side of your screen and click on WebRA. WebRA requires you to create a password. The password has to be between 8 and 32 characters, contains at least 1 upper case letter, 1 lower case letter, 1 number and 1 special character. This password is case sensitive.
Q: How do I make a request for an RA?
: You may call 1-855-661-7830 to make a request for an RA. A RA request form will be faxed to you. Once you have sent in payment for the RA you will receive your RA either by fax or mail.
Q: How can I add a physician to my group?
: To add a physician, complete the provider name and specialty form
and fax to BreastCare. Instructions on how to complete the form are available here
. Should you have any additional questions, please call 501-661-2836 for assistance.
Q: How do I access the ADH online system?
: Go to https://health.arkansas.gov/adhinternetapps
You will enter your clinic email address that was provided on your Public Health Service Agreement and then click on request access. NOTE: Each clinic, under your group, must request access to the online system. Once access has been requested you will receive an email from BreastCare with a link to setup password. Enter password of your choice and confirm to login. Keep in mind that only providers who enroll BreastCare patients should request access.
Q: I’ve entered my results in the ADH online system. Why is my claim still rejecting?
: Verify that your claim contains correct NPI number, performing provider taxonomy (if it exists), and appropriate office visit procedure code and that the on-line BreastCare system contains the matching patient ID, date of service, exam type and procedure results (CBE, Pap test, if applicable and/or mammogram) and re-file claim. For questions contact 1-855-661-7830.
Q: A client has a BreastCare ID card with eligible effective dates but when I try to bill her claim it states that the client is ineligible. What do I do now?
: Please call 501-661-2836 and provide the client ID # so that the client’s eligibility can be researched and added to the system.
Q: Where can I find the BreastCare Billing Manual?
: Go to www.arbreastcare.com
and click on just for providers. Click on forms and manuals. Scroll down under Billing Information and manuals and click on Billing Manual.
Q: Who do we contact to sign up for a provider visit or virtual training for BreastCare billing?
Answer: Click here to view and register for upcoming virtual training classes. For questions or to schedule an in person training, contact Karen Young at email@example.com.
Q: Who is the contact person if when I access the ADH online system and can’t remember the email address used?
Answer: Please call 501-661-2836 or 501-661-2947 to check email address entered on Public Health Service Agreement. NOTE: BreastCare cannot reset passwords to login online system. You will need to logon and click reset password.
Q: What is the definition of a Taxonomy code?
Answer: The health care provider Taxonomy code is a unique, 10-character, alphanumeric code that allows a provider to identify a specialty category. If you still have questions regarding taxonomy code, please contact HP at 1-855-661-7830.
Q: When is the Taxonomy code needed?
Answer: When providers apply to the NPPES for an NPI, they will be notified if they require a taxonomy code. If the provider requires a taxonomy code they are required to submit their taxonomy code when they bill their claim. If the provider does not require a taxonomy code they will not submit a taxonomy code when they bill their claim, that field will be left blank. Providers may have one or more taxonomy codes associated to them. If a provider is required to report a taxonomy code when using the Web-based NPI reporting crosswalk tool, only one taxonomy code can be chosen regardless of how many taxonomies were reported to NPPES. If you still have questions regarding taxonomy code, please contact HP at 1-855-661-7830.
Q: Why is the Taxonomy code needed?
Answer: BreastCare will use a taxonomy code only to match an NPI to a legacy Arkansas Medicaid provider ID during EDI processing. No payment processing will be completed using the taxonomy code. If you still have questions regarding taxonomy code, please contact HP at 1-855-661-7830.
Q: How to use the Taxonomy code?
Answer: If the provider bills their claims on the paper BreastCare claim form then they need to physically enter the taxonomy code in section 1a of that claim form. If the provider bills electronically using DDE then they need to physically enter the taxonomy code under the Billing, Performing and/or Referring Provider Information fields. If the provider bills electronically using PES it will automatically plug when the provider sets up the provider ID numbers. If you still have questions regarding taxonomy code, please contact HP at 1-855-661-7830.