STATE OF
DEPARTMENT OF HEALTH
eMedNY
MEVS
Provider Manual
January 12, 2006
Version 1.12
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Table of Contents
Section
1.0 INTRODUCTION TO THE NEW YORK STATE
MEDICAID ELIGIBILITY VERIFICATION SYSTEM
2.0 BENEFIT IDENTIFICATION CARDS/FORMS
2.1 Permanent Common Benefit Identification Photo Card
2.2 Permanent Common Benefit Identification Non-Photo Card
2.3 Replacement Common Benefit Identification Card
3.0 INTRODUCTION TO TELEPHONE (Audio
Response Unit) VERIFICATION
3.1 Telephone Equipment Specifications
3.2 Telephone Verification Using the Access Number or Medicaid Number (CIN)
3.3 Telephone Verification Input Section
3.4 Telephone Verification Response Section
3.5 Telephone Verification Error and Denial Responses
4.0 INTRODUCTION TO THE Verifone Omni 3750
MEVS Terminal
6.0 VeriFone Omni 3750 Terminal
6.1 VeriFone Omni 3750 Terminal - Front
6.1.1 VeriFone
Omni 3750 Terminal Description - Front
6.2 VeriFone Omni 3750 Terminal – Back
7.0 VeriFone Installation Instructions
7.1 Instructions to Reset Day/Date/Time
7.2 Instructions for Setup Menu (P1 Key)
7.3 Instructions for Provider Menu (P2 key)
8.0 VeriFone Verification Input Section
8.1 VeriFone Verification Using the Access Number or Medicaid Number (CIN)
8.2 Instructions for Completing a VeriFone Transaction
8.2.1 Instructions
for Completing Tran Type 1
8.2.2 Instructions
for Completing Tran Type 2
8.2.3 Instructions
for Completing Tran Type 3