Did anyone else have a high number of claims processed incorrectly on their 8/16/22 MA ERA?  We've had claims that have partially processed to CO45 - but should be reimbursed fully.  From what I can tell, it looks like anything that was over 10 units for a WEEK was processed tot he provider discount, which is incorrect.  I'd love to know if anyone else had issues.

Has anyone been successful in getting paid from UHC-PMAP for residential treatment and SUD outpatient services? We are getting conflicting information on how they want us to bill residential treatment so I would love to hear what form and what codes you are billing especially if you are a 1115 waiver provider. Thank you in advance!

Hi

Did anyone else, in the last two weeks, have an EFT with many Blue Plus Payments come in where the paid amount for the 90837 was drastically reduced? 

I only received 1 ERA yesterday, and so far nothing today.

Is anyone else not received payment for 2022 Institutional claims submitted to UCARE?  We are now 90 days out and no payments.  I have reached out to them and told it is an internal issue they are working on. 

Hello - is anyone else experiencing UHC ERAs from certain plans not populating into the ERA module in Procentive?  For instance, the new UHC PMAP plan - the ERAs are not coming into Procentive and we are manually having to get them from the UHC provider portal and input them?  Curious if anyone else is experiencing this issue since the change in the Clearinghouse.  Thank you!

When you post an Ad Hoc in order to process a take back, do you post the full billed amount of original invoice or amount minus adjustment? We are wanting to be sure that our receivables are reflected accurately.

What steps does everyone use when posting a messy remit with take backs on every other line? Blue Plus for instants

Does anyone still have UCare Minnesota (new 2022 payer) claims that are sitting in 'pending' status on UCare site and not paid? Mine just hit 60 days. Looks like many of them are being manually processed  . . . I'm getting payments verrrrrry slowly trickling in.  I've been calling and hold time yesterday was 33 minutes and got 2 claims sent back for reprocessing.  Just looking to see if this is only me, or playing the waiting game all around.

We are trying to post the tax without doing all of the take backs. Has anyone figured out a way to post these more efficiently?