eServices: New Medical Review Letters Available as Greenmail for Skilled Nursing, Low Utilization Probe and Educate

Palmetto GBA has two new greenmail letter options through eServices. Providers are now able to receive the Skilled Nursing Probe and Educate, or SPE  (Part A only) Low Utilization Probe and Educate, or LUPE (Parts A, B and HHH) letters as greenmail via the eDelivery tab in eServices.

• SPE letters available:
  • SPE results educate letter
  • SPE initial notification letter
• LUPE letters available:
  • LUPE remove and educate letter
  • LUPE progress to next probe letter
  • LUPE initial notification letter
  • LUPE progress notification letter

To start receiving greenmail, you must be signed up for our eServices online provider portal. Once you have signed into eServices, select the Admin tab and navigate to the eDelivery Preferences sub-tab. You can then update your eDelivery preferences by simply clicking the drop down box to choose eDelivery, instead of US Mail, for the letters you would like to receive via greenmail. You can also select the User Pref Email Notification checkbox to start receiving emails when your letters are available in eServices for you. Selecting this choice is so easy and allows you to receive your letters faster!

Tips and Reminders

• SPE
  • Five claim review of SNF claims for all SNF providers (Part A only)
  • SPE letters are available for all JJ and JM Part A providers selected for the review
• LUPE 
  • Five claim review of provider claims, similar to TPE but with a smaller sample. Providers are identified based on their utilization sample size.
  • LUPE letters are available for all JM Part A, HHH and Part B providers selected for the review
• Once you have chosen the eDelivery option, all of the letters you selected will come to you electronically, even if you sent in your request via fax or mail
• Greenmail through eDelivery is quicker than receiving them in the U.S. Mail 
• To register for eDelivery instead of the U.S. Mail, the eServices account administrator can select the letters in eDelivery preferences under the Admin tab
• Letters are accessible to all users on the eServices account. The eServices account administrator will need to grant access permissions for users.
• Users can read, download and/or print the letters from the eDelivery page
• There are many other Medical Review letters available to receive as eLetters in eServices. The administrator can view the entire list in the eDelivery Preferences sub-tab.

Select eDelivery from the "Preference" column to receive letters via greenmail. Select "User Pref Email Notification" to receive email notifications when you have mail.

"Select a Letter Type" to view letters.