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BCBS Blue Plus Assessements

BCBS posted a Provider Bulliten on 4/10/2019 stating that as of 5/1/2019 we should bill the R25 Assessment with the HF Modifier to distinguuish between it and the Comprehensive Assessment. 

Yesterday we received two ERAs for DOS January - April 2019 where they reprocessed ALL of our R25's as Comps since they were billed with no HF Modifier. The communication I have clearly states it went into effect on 5/1/2019. We get paid more for our R25 so it is resulting in a large takeback.




ERA import delay

Has anyone else noticed a delay in how long it takes to see ERAs from MN-ITS in Procentive?  There has has always been some lag, however we don't have our yet.  It looks like the files are available in MN-ITS as of 9/13 but not into Procentive yet....


MA slow remits

Hi All,

Just wanted to let you know we've been made aware that MA is slower than normal getting their remits out this week.

We will be keeping an eye on this and update you when we can.

Thank you,

Procentive Team


Report Question

Rochelle Garcia 4 days ago in Reporting Module updated by sarah 4 days ago 3

Is there a report that shows if the client hasnt been seen within in a period of time


Hiding client charts

Cassandra Hams 1 week ago in Clients Module updated by sarah 1 week ago 3
We have a unique situation that I need help with. We currently have a previous client that is in our system that is now a employee at our agency. We have blocked staff from seeing her clinical charting, but we need staff to not even look her up in our system. So staff would not be able to see her name at all when searching in the client module. Has anyone ran into this situation? If so, what did you do?

Thank you!