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BCBS Blue Plus Assessements

Jeremy Roelofs-Lynch 1 week geleden in Payments/ERA Modules bijgewerkt 1 dag geleden 2

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.




New and expiring ICD 10 codes

You may be aware that on Wednesday, September 30 there are certain ICD-10 diagnoses that will expire. These expired diagnoses will be replaced by updated codes on October 1.

Please familiarize yourself with the list of changes in preparation for this change. The new ICD-10 codes have been added to the Procentive master list and can be added to your Diagnosis Module at any time.

These 2021 ICD-10-CM codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021 and for patient encounters occurring from October 1, 2020 through September 30, 2021.

For your convenience the full 2021 ICD-10 Table and Index (PDF, published by CMS) is available here (obtained from

Each agency is responsible for adding and removing diagnoses as they deem necessary based on the services they provide. For a guide on updating your Diagnoses Module, please see this article on our Knowledge Hub.

Any expired diagnoses submitted on claims for DOS 10/01/2020 and later will be rejected. For assistance with these rejections please review this article on our Knowledge Hub.

If you need further assistance please submit a ticket to the Procentive Support Desk.


ERA import delay

Valerie McNamara 1 week geleden in Payments/ERA Modules bijgewerkt door Chris Werner (Customer Success Manager) 1 week geleden 7

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 1 week geleden in Reporting Module bijgewerkt door sarah 1 week geleden 3

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