PER DHS:

I have reported a Connection Time Out error being returned for our Real Time application starting before 10 am CDT today.  Our Operations team is looking in to cause and a resolution.  No ETA at this time.

Eligibility though DHS is coming back with a Connection Time Out error for most users and DHS is working on a resolution. 

Please watch this post for updates as they become available!

We have been informed today by the clearinghouse that beginning with DOS 8/1/17, all claims for South Country Health Alliance sent an NPI number must also include the corresponding taxonomy code on the claims.

This means anywhere on your claim that there is an NPI (billing NPI, provider NPI) the corresponding taxonomy must also be sent.

Unfortunately, this is the first SHCA has notified the clearinghouse of the change and the clearinghouse suspects that there have already been denials for claims with DOS 8/1/17 and

forward. 

Please review this Knowledge Hub article to ensure your SCHA payer is setup correctly!

Procentive servers are down right now. We are working to resolve the issue ASAP and will update this post once we have more information

UPDATE:  The servers were successfully brought back online at 11:32 a.m. after Procentive identified an outage at 11:15 a.m.  The system operations team identified the problem and took action to confirm a solution and the system has been stable with no lingering effects.  On behalf of the Procentive team we apologize for the disruption this caused you this morning as you cared for your clients.  Our aim is to always seek to serve you as quickly as possible in any situation. Thank you for allowing us to partner with you in providing great care to your clients.

Pat Stream

Director of Customer Success

All claims being sent to MN MA (DHS) are coming back unacknowledged with a status of "No Response" in the Electronic Module. We are working to get in touch with DHS for more information and to find a resolution.

Please watch this post for updates. Thank you!

We have received the following notice from DHS:

All functions of MN–ITS will be unavailable from Saturday, August 5 at 6 a.m. until Monday, August 7 at 6 a.m.  while we do system maintenance. During this time all of MN–ITS will be unavailable, including:
•  All Direct Data Entry (DDE) transactions
•  All applications and systems that require users to log in to MN–ITS
•  All eligibility verification transactions, including phone verification
•  The MPSMISC file will not be available for uploads or downloads Batch transaction processing – All batch transactions will be unavailable, including secure FTP servers. You will not be able to submit any files during this time. (Pub. 7/22/17)

What does this mean for you?

Eligibility through Procentive will be unavailable during this time. This may also cause claims sent to MN MA (DHS) to fail.  All DHS systems (e.g. MN-ITS) will also be unavailable during this time.

We ask that you please wait to send claims to MN MA until their system is restored on Monday, August 7 at 6 AM. 

Please contact the Procentive Support Desk with any questions. Thank you!

We have received the following notice from DHS: 

All functions of MN–ITS will be unavailable from Saturday, July 22 at 6 a.m. until Monday, July 24 at 6 a.m. while we do system maintenance. This includes 270/271 Real Time X12.

What does this mean for you?

Eligibility through Procentive will be unavailable during this time. This may also cause claims sent to MN MA (DHS) to fail.

We ask that you please wait to send claims to MN MA until their system is restored on Monday, July 24 at 6 AM. 

Please contact the Procentive Support Desk with any questions. Thank you!

For all claims sent yesterday morning (7/19) you may see this rejection message in the Electronic Module:

The Validator encountered an internal error :  com.edifecs.xengine.XEException:  com.edifecs.common.ecl.ECLException:  DB /opt/Edifecs/Common/UserECLDB/jECL/ECLRegistry is not ECL registry.. Invalid data: 030240928 

Availity informed us that their system was encountering errors which caused claims to reject with this message.

If you have not done so already, please resend any claims with this message.

Thank you!

Claims being sent to UBH/Medica (payer ID 87726) with Medicare as a secondary/tertiary payer have the status of "Error" in the Electronic Module. The batch report reads:

Insurance Type Code may be used only for Medicare Payer. Element SBR05 is used. It may be used only when payer is Medicare. Segment SBR is defined in the guideline at position 2900

This message does not apply to these claims and is being sent back from the clearinghouse in error. We are working to resolve this as quickly as possible.

Please watch for updates to this post; these claims will need to be resent once the issue is resolved.

Thank you!

UCare had an issue with the following rejection message "misfiring" on multiple claims:

The Claim/Encounter is missing information specified in the Status details and has been rejected. Status: NDC number. 

This has been corrected by the payer however, you do need to resend the affected claims.

Please note: This only applies if you received the above rejection message in the Electronic Module on claims sent to UCare.

If you are unsure whether or not this applies to you, please send a ticket to the Support Desk for further assistance.

UPDATE: We have been made aware that this no longer applies only to CPT code 90834. Any code with the referenced rejection message should be resent. 

Yesterday we were made aware of the following Claim Rejection in the Electronic Module which appeared on all claims sent to BCBS of MN (ID SB720) that contain code H0046 (Travel):

Rejected for Missing Information  The Claim/Encounter is missing information specified in the Status details and has been rejected Status: Detailed description of service

The rejection was due to a coding update which inadvertently removed the "TRAVEL" narrative that follows code H0046 on claims.

Please resend any claims with this rejection message for code H0046 to resolve this rejection - no changes need to be made.

Thank you!