Provider Inquiry Summary Walkthrough
Overview
Provider Inquiry Summary displays the current status / results of the Provider Inquiry.
The following is a step by step walkthrough of retrieving a provider inquiry summary.
Quick Notes
- This option is only available for Highmark BCBS WNY & Highmark BS NENY.
- The Requesting Provider is required.
- The Inquiry Date Range is required.
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Additional information can be found in the Provider Inquiry Tip Sheet
Submitting a Basic Provider Inquiry Summary
- Click on Provider Inquiry Summary in the HEALTHeNET menu
- Select the Payer from the drop-down
- Select the Requesting Provider
Note: This is the provider that the original inquiry was submitted for
- Enter the Inquiry Date Range
Note: The default is for the past month
- Click on the SUBMIT button
Note: All inquiries fitting the submitted criteria will be returned in a list, if there is more than one result.
Submitting a Provider Inquiry Summary with an Inquiry ID Number
- Click on Provider Inquiry Summary in the HEALTHeNET menu
- Select the Payer from the drop-down
- Select the Requesting Provider
Note: This is the provider that the original inquiry was submitted for
- Enter the Inquiry Date Range
Note: The default is for the past month
- Enter the Inquiry ID Number
- Click on the SUBMIT button
Submitting a Provider Inquiry Summary with a Member Number
- Click on Provider Inquiry Summary in the HEALTHeNET menu
- Select the Payer from the drop-down
- Select the Requesting Provider
Note: This is the provider that the original inquiry was submitted for
- Enter the Inquiry Date Range
Note: The default is for the past month
- Enter the Member Number
- Click on the SUBMIT button
Note: All inquiries fitting the submitted criteria will be returned in a list, if there is more than one result.
Conclusion
This document covers the basic use cases for the Provider Inquiry Summary screen and the required fields for each.
There are additional request fields on the inquiry screen that can be included to assist the payer
with finding the requested inquiries.