How do I bill Washington DSHS through ProviderOne?

Settings, State programs, Washington: turn it on and finish six steps, then Billing, ProviderOne, Create DAT file and upload it in ProviderOne Social Service Batch Upload.

Quick answer1 min readUpdated for AveeCare
Short answer

Go to Settings, State programs, and choose Turn on and set up on Washington. Finish the six steps: ProviderOne ID and locations, DSHS payer, Service codes and rates, Caregiver SSSOP IDs, Clients and authorizations, and Units and time zone. Then open Billing, ProviderOne, choose the period and select Create DAT file. Upload that file in ProviderOne under Social Service Batch Upload, then select I uploaded it in File history.

Step by step

  1. Go to Settings, State programs, Washington, and select Turn on and set up.
  2. Finish each setup step until the card reads Ready to bill ProviderOne.
  3. Open Billing, then the ProviderOne tab, and choose the period on Bill this period.
  4. Fix any line marked with a problem; each one says what is missing and opens the place to fix it.
  5. Select Create DAT file. AveeCare checks the file and downloads it.
  6. In ProviderOne, open Social Service Batch Upload and upload the file.
  7. Back in AveeCare, open File history and select I uploaded it, then record Accepted or Rejected once ProviderOne shows the batch status.

Good to know

  • Only for agencies that turn it on Agencies outside Washington, or that never bill DSHS, see none of these screens or fields.
  • EVV goes on the claim T1019 and T1005 lines carry the caregiver SSSOP ID, clock times and GPS. Overnight visits are split at midnight and units follow the rule you chose.
  • Visits are never billed twice A visit already in a file waits there until the file is rejected or the line is denied.
  • The EVV dashboard knows Exporting from the EVV dashboard sends ProviderOne visits to Billing, ProviderOne instead of a second export.

Keep going

Where do I enter a caregiver SSSOP ID, and how do I make the ProviderOne roster file?

Caregiver profile, State program IDs, Add SSSOP ID; or Caregivers, Import SSSOP report. Make roster file fills the DSHS roster template for caregivers without one.

What do I do when ProviderOne rejects my DAT file?

Billing, ProviderOne, File history: select Rejected and drop in the Error Instance List; each error lands on its line with the fix, and the lines come back marked Resubmission.

How do I record ProviderOne payments and denials from the remittance advice?

Billing, ProviderOne, Payments & denials, Import a remittance advice: lines are marked paid or denied with their TCN; work denials and bill client participation.

Written by
Calvin Nesvig
Founding Partner, AveeCare

Builds AveeCare full-time. The AveeCare Help Center is written and maintained by the team that builds the product, so the steps in every article come from the same people who ship the features.

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