Frequently Asked Questions

About Create®

What is Create?
How was I selected to participate in Create?
How do I check my participation status in Create?

Billing & Claims

How can I check the status of a claim?
Can I review the Remittance Advice (RA) on your portal?
I have a question regarding my payment. How do I get help?
How long does it take for claims to get paid?
Will I get a paper check or an electronic remittance?
Do you offer payments using EZ Pay?
Will I have to pay a service fee for the single use credit card?
Do you accept ICD 10 claims?
How do I submit a payment dispute?
How are claim edits handled?

Eligibility and Benefits

How do I identify a Create member?
How do I read a Create ID card?
How do I check the eligibility of a patient?
How can I service my patient who forgot their ID card?

Portal - Login and Registration

What capabilities do you provide on your provider portal?
We are a Billing company (RCM). How do we register?
We already have access to the MagnaCare portal. Do I need to register again on the Create portal?
What access levels do you provide on your portal?
Can a super-user add more users?
Who do I contact for portal-related issues?

Pre-certification and Transition of Care (TOC) requests

How do I find out what services require pre-certification?
How do I submit pre-certification requests?
Can I submit a pre-certification online?
How can I check on the status of a pre-certification request that was already submitted?
My patient signed up for a Create plan, but is still under my care for an ongoing treatment. Do you offer a Transition of Care program?
My patient requires services that are not available in the patient’s network. What is Create policy in this situation?
How can I appeal a Transition of Care denial?
Can I request a peer review for Transition of Care?
How can I help my patient who requires a case manager?