Query Access has been designed to provide affiliated payors with real-time access into NCPPO's claims system. This service is offered only to Insurance Carriers and TPA's. If you are interested in accessing the Query Access system please contact the Payor Relations department at 1-877-284-0101 ext. 6132.

Click HERE for a tutorial on setting up the NCPPO/HealthLink Query Access system.

Helpful Hints:
When logging on USE ALL LOWERCASE CHARACTERS
After logging on USE ALL CAPITAL CHARACTERS

Provider Query

1. Select Provider Query from the primary menu
2. Enter the Provider Information
   1. Tax Identification Number OR
   2. Provider Name
      • Last name
      • First name
      • Zip code (optional)
   3. Network Data - third line, lower left corner
   4. Participation Status - top line right corner
      • P = Participating
      • N = Non-participating
   5. Effective Date - top line, right corner
   6. Termination Date - second line, right corner
   7. HealthLink Provider Number - top line, second field
   8. Enter the letter "X" to exit the screen
   9. Enter the letter "X" a second time to get back to the primary menu

Family Status History Display

1. Select Family Status History Display from the primary menu
2. Enter the Member Information
   1. Social Security Number OR
   2. Member Name
      • Last name
      • First name (optional)
      • Gender (optional)
      • Birthdate (optional)
3. Enter the number of the desired Member
4. Once finished, continue to press Enter to get back to the primary menu

Member Status History Display

1. Select Member Status History Display from the primary menu
2. Enter the Member Information
   1. Social Security Number + dependent code OR
   2. Member Name
      • Last name
      • First name (optional)
      • Gender (optional)
      • Birthdate (optional)
3. Enter the number of the desired Member
4. Once finished, type in the word "END" to exit the screen
5. Continue to Enter to get back to the primary menu

Claim Query

1. Select Claims Query from the primary menu
2. Enter the Member Information
   1. Social Security Number OR
   2. Member Name
      • Last name
      • First name (optional)
      • Gender (optional)
      • Birthdate (optional)
3. Enter the number of the desired Member
4. Enter past the following confirmation screen
5. Select Summary of All Claims
6. Enter the Number of Claim in question and press enter
   1. Press Enter again to get to the detail of the Claim
   2. Type in the letter "L" to view any reject or error code reason
   3. Type in the letter "T" to track the date HealthLink received and repriced the Claim
   4. Enter "S1" to get back to the First Claim Screen
   5. PRINT THE CLAIM BY UTILIZING A "CLICK, DRAG AND PRINT" ACCESS WITHIN THE PROGRAM SOFTWARE.
   6. Type in "END" to get back to the complete listing of member claims
   7. Select and view another claim or
7. Type in the word "END" to go back to Claim query or continue to enter to get back to the primarymenu

Utilization Review Query (If Applicable)

1. Select Utilization Review Query from the primary menu
2. Enter the member information
   1. Social Security Number + dependent code (e.g. 02,03,01)
3. Select Number of Authorization or referral in question
4. Once finished, type in the letter "X" or the word "END" to exit the screen
5. The system will give the message "Are you sure you want to exit?" Type in the letter "Y" for Yes
6. Continue to press the Enter key to navigate back to the primary menu