I was wondering if anyone has submitted claims to this program that pays for mental health services.  They're requesting billing be submitted on HCFA 1500.  They are not Procentive payer and so Im trying to figure out a way to not have to fill out these claims by hand. Thanks

Does anyone know the Payer ID number for Blue Cross Blue Shield of North Dakota as of 1-1-2019?

Thank you,

Victoria Petrik

The Minnesota payers BCBS/Blue Plus, SCHA/MMSI, and UCare are making updates within the next 2 months.  We will provide you with more details mid-November, but here’s what you should do now: 

Blue Plus PMAP (of MN)

The Change: 

• BCBS is creating a new Payer ID number for Blue Plus PMAP to distinguish it from Blue Plus Commercial plans.
• As of December 1st, 2018, all PMAP claims will need to be submitted to a new Payer ID number.
• Procentive will automatically update the Payer ID in the new payer Blue Plus PMAP on December 1, 2018.

Action Required: 

• Add the new payer "Blue Plus PMAP" (ID: SB720) to the Payers Module. Copy over current codes and rates from the BCBS PMAP payer.
• Add the new payer to each client that has BCBS PMAP and begin using this new payer right away.  (Run Report 3070 in the Reports Module to see a list of all clients with BCBS PMAP.)
• Inactivate the old BCBS payer for each client as you add the new one. 

SCHA/MMSI

The Change: 

• SCHA/MMSI’s Payer ID will change as of December 1, 2018.

Action Required:

• Fill out the Electronic Funds Transfer (EFT) form you receive from SCHA/MMSI.  
• DO NOT fill out the Electronic Remittance Advice (ERA) form that they send you.  
• At this time no change within Procentive is needed. 

UCare

The Change: 

• UCare is creating a new Payer ID for UCare Family and Individual (currently called either UCare Choices or Fairview UCare Choices), effective as of January 1, 2019.
• Procentive will automatically update the Payer ID in the new payer UCare Family and Individual on January 1, 2019.

Action Required: 

• Add the new payer "UCare Family and Individual" (ID: 52629) to the Payers Module. Copy over current codes and rates. 
• Add the new payer to each client that currently has either UCare Choices or Fairview UCare Choices. (Run Report 3070 in the Reports Module to see a list of all clients with these payers.)
• You will need both the old and new payers for a client because the payer you submit to will depend on the Date of Service.  

Have further questions on what to do to prepare for these changes? Please submit a ticket to the Procentive Care Team.

Has anyone successfully navigated the new Tricare online-only authorization request system? 

Our practice needs to enroll with 4 different insurance companies and are looking for ways to make the enrollment process easier in general.  Does anyone know of, or use, a service that will enroll our practice to these payers for us?  With how time consuming the credentialing process is, we're hoping to eliminate the headache.

Thanks!

When I go into any Payer Module --> "Rates Tab" the remainder of the tabs that open up below the "Rates Tab" do not display the names.  They're cut off and I cannot read which sub-tab I am in under the "Rates Tab".    Anyone else experiencing this??

Hello

For the agencies that charge no show fees...do you have a separate payer for each client so that an invoice will generate for that charge.  Currently each code is attached to a payer so that when its sent to the billing module you can bill that payer but I dont want to bill the actual payer that is set up (like BCBS or MA) so how would I set the client's payer up to bill the client directly?

Do you use a different invoicing system for these other types of (non-insurance) type client fees?

I need to bill clinical services and lab services to each of the payers. The only way I seem able to do this is to create two separate payer profiles. IE BCBS Clinical and BCBS Lab. Does anyone have any experience in doing this or know of a better way? 

Has anyone increased their fees they have billed for?

If so, is the only place this needs to be changed in the Payers Module, Rates Tab, Codes Sub-tab? Then of course, changed in all other payers that this would apply to?