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ePACES Login Please Note: Medicaid recipient level data is confidential and is protected by state and federal laws and regulations It can be used only for the purposes directly connected to the administration of the Medicaid program You are required to read, understand and comply with these regulations There are significant state, civil and federal criminal penalties for violations View Medicaid
Logging In - eMedNY Home > Logging Into ePACES Logging Into ePACES ePACES is located at http: www emedny org epaces Before logging into ePACES, you must have a User ID and Password
What is ePACES - eMedNY ePACES is the electronic Provider Assisted Claim Entry System of the New York State (NYS) electronic Medicaid New York (eMedNY) system It is a web-based application that allows providers to request and receive HIPAA-compliant Claim, Eligibility, Claim Inquiry and Prior Approval Dispensing Validation System (DVS) transactions
Entering Claims - eMedNY Home > Enter New Claims Entering Claims Providers and third-party Billing Services can enter Institutional, Professional, Dental batch and Professional Real Time claims for processing by eMedNY When you start entering a claim, you will be prompted to select the type of claim Batch claims will not be available for processing by eMedNY until the claims have been batched using the Build Claim
Status Inquiry Request - eMedNY a page displaying a table of claims which have been sent for processing by the NY State MMIS will open, Administrators and Supervisors may inquire on all claims entered by any user for the selected provider by selecting a User ID from the Claim (s) by User ID list General Users with the ability to submit Claim Status Inquiry requests do not have visibility to claims entered by anyone other
Add New Provider click on Add New Provider on the main Provider Support File page, if the provider to be added is an existing Medicaid provider: enter the last name OR Provider Number ( 8 digit Medicaid ID or 10 digit National Provider ID) in the corresponding fields under the heading Add an existing Provider, Entering the Last Name followed by a single space and the First Name will narrow the list of returned
Determine Eligibility - eMedNY Home > Client Eligibility > Determine Eligibility Determine Eligibility Clicking Request in the menu under Eligibility allows you to submit a request for a client's eligibility details The requests may be submitted for an individual Provider or a Provider Group Requests are made directly to NY Medicaid and, therefore, Eligibility Responses may be considered real-time transactions There are
Claim Status Inquiry - eMedNY Claim Status Inquiry is a tool used to inquire on the current status of claims within the NY State Medicaid adjudication process Responses are received indicating the current status of the claim When the claim status inquiry does not uniquely identify the claim within the NY State Medicaid adjudication process, the response will be for the first claim that meets the identification parameters
General Claim Information - eMedNY Home > Enter New Claims > General Claim Information General Claim Information When New Claim is selected from the left-hand menu, the page you initially see is the General Claim Information tab, part of the overall claim entry process This tab is the same regardless of claim type This tab contains the patient related information for the claim being entered This includes the Patient Control
Entering PA Requests - eMedNY Home > Entering PA Requests Entering Prior Approval Requests Providers and third-party Billing Services can enter Prior Approval (PA) requests with ePACES If your facility is set up to enter transactions for multiple Providers, be sure the Provider Name and ID displayed above the left-hand menu is correct In the event of a Group, PAs must be entered for the individual members, as any PA