Frequently Asked Questions about ProviderOne

I am a network eligible provider and the Training and Education step is listed as optional; do I need to complete this step?

Yes, although marked optional, L&I does require Training and Education to be completed for all Network eligible provider types. 

MD/DO/DPM providers will be required to enter their Medical School and Residency in this step. All other provider types will need to enter their *Education/Medical School to complete this requirement. 

*In the Training/Education Type dropdown, select Medical School, and enter the Institution name and dates attended. End date field should be entered as 12/31/2999.

I am having trouble getting my EFT approved, how do I resolve this?

To verify whether your EFT has been processed, log in to your ProviderOne portal, and click on the step labeled payment and remittance details. Click on the location code link, and check the status in the "EFT Test Status" field.

• If the status is displaying as "In Process" that means that it has not yet been completed. It typically takes 1-2 weeks for banking information to be validated.
• A "Successful" response indicates that the EFT banking information was validated, and you should receive EFT payments going forward.
• If you see a "Failed" response, this indicates that your banking information could not be validated. Double check the banking information and resubmit if incorrect. If you continue to receive a failed response, and the correct information was provided, or the test status has been "In Process" for longer than one month, email MMIS, including your ProviderOne Domain ID.
I am an Individual provider, should I select servicing only or regular billing as the servicing type?

In Step one of the ProviderOne application you must select a servicing type to indicate what type of billing a provider will be using. 

A Servicing only provider is a provider that will only be billing under their provider group, or employers tax ID

A Regular (billing) provider is a provider that will be billing under their own SSN or tax ID

I have a ProviderOne ID and an L&I account number, what's the difference?

Once your ProviderOne application is approved, you will be issued a ProviderOne domain ID number, used only for the organization's ProviderOne record, and cannot be used to bill L&I. 

You will receive a separate letter that details your L&I provider account number which will be used for billing, authorizations, and using L&I's online systems. 

How can I request a call back from L&I regarding my application?

In order to properly help with your application in ProviderOne, please email LNIProviderOne@LNI.WA.GOV and include:

• The applying NPI,
• Application or domain number (if known),
• A brief description of the issue and your contact information
How can I update information in my ProviderOne domain?

Only administrators for billing domains (individual/groups) will be able to submit updates (servicing only providers must contact your group's ProviderOne administrator)

Changes to the domain can be made after establishing an administrator profile. For more information see the Access ProviderOne Tab. Sign into your ProviderOne portal and select the EXT File Maintenance profile. You will then need to select Manage Provider Information from the left navigation toolbar. 
 

I am unable to make any additional changes to my ProviderOne domain, why?

If you have submitted a modification in ProviderOne, it will not allow you to submit any additional updates until the current modification is approved or denied. 

I am having trouble when attempting to add a new provider to my ProviderOne domain, why?

There are two common scenarios that will not allow you to add a servicing provider to your group domain: 

1. The servicing provider is brand new to ProviderOne, requiring a new application to be completed.

2. The servicing provider does not have L&I as a selected agency, and will require you to add the agency along with L&I specific information

For further information/instructions Contact Us.

My organization has several locations, are we required to add them all in ProviderOne?

There is no requirement to add all locations, however, each location you add will be issued a unique L&I billing account. To avoid unnecessary accounts, only add locations where services will be rendered to injured workers.

Do I need to add my servicing providers to all of my organization's locations?

No, servicing providers will only need to be added to locations where they will be providing services to injured workers.

How do I terminate an individual servicing provider associated to my group?
1. Log into your Group Domain.
2. Under your servicing provider list (Step 14)
3. Click on the start date (hyperlink) on the L&I line.
4. Enter the date the provider left into the end date field, click save.
   • Repeat steps 3 and 4 for each location the provider is no longer doing business at.
5. Once you have completed all updates to your group, submit your modification. 
Why is L&I issuing multiple accounts for my providers?

There are two common scenarios that determine when additional provider accounts are created. 

Scenario 1:  Selecting multiple taxonomies may generate multiple accounts when you are adding individual servicing providers through your group domain (Step 14).  For L&I, only select the primary taxonomy.  In most cases, we don't require multiple taxonomies to bill for services. 

Scenario 2: Selecting multiple taxonomies in the billing provider details (Step 15) when you create a new servicing provider enrollment or new L&I application modification may generate multiple accounts.  For L&I, only select the primary taxonomy. In most cases, we don't require multiple taxonomies to bill L&I for services. 

If I add my EFT/Direct Deposit, will it affect my L&I payment?

Yes, after L&I has approved the change, you will see an alert in ProviderOne. Upon the next billing cycle, your payment will be sent via EFT information provided.

Does ProviderOne change how we submit bills to L&I?

No. You will continue to bill L&I and access your remittance advice as you do today. You cannot bill L&I through ProviderOne. 

I made a change in ProviderOne, why can't I see it?

To view changes, use the Filter By, select Status. In the next field, enter In% and click Go. Any entries with an "In Review" status will be displayed. (see the modification guides). 

How do I make changes to my existing provider domain(s)?

In order to make updates to a ProviderOne Domain for your group or servicing providers, you will need to do so through the Business Process Wizard (BPW). The BPW is the web application in ProviderOne that will allow changes to be made to provider domains. In order to access the BPW, follow these steps:

1. Select the Domain ID
2. Select Ext Provider File Maintenance
3. Choose Manage Provider Information and the BPW will appear. 

Step 1 is asking me for a UBI, do I have to enter a UBI?

The UBI is not required. Leave the UBI field blank.