

There has been much back and fourth on this thread of what everyone is hearing and expressing frustration. We understand the extremely difficult circumstance you are in and we have been invested in seeking truth with facts on this situation and here is what we have found:
- - We have had several agencies receive an ERA from Blue Plus (00562) although only professional claims at this point in very small dollar amounts. The ERA payer column will read “BLUE PLUS OF MINNESOTA”
- - 1/3rd of those agencies have confirmed (we called them) they had an ACH payment into their bank for the exact amount on the ERA. At the top of the ERA when opened, the Method will read ACH.
- - The agencies who received these EFT/ACH payments DID NOT do anything extra or different with registration, re-processing, etc.
Blue Plus has contracted Amerigroup Health Solutions to process these claims. Amerigroup is required to abide by the terms from Blue Plus which means you DO NOT need to register, or re-process claims. If you had ERAs and/or EFT set up before the change it will continue moving forward- no further action required. Blue Plus is aware some agencies have been told they will get a paper check mailed to them but that was an error and should not continue to happen.
We are continuing to run reports daily to track agencies getting ERAs and hope to see this number continue to rise. We will continue to post updates as we see other improvement.

Print Receipt Checkbox
Thanks for adding the Print Receipt checkbox on the payment entry screen!!
It was so annoying to have it pop up every time :)

Has anyone received denials from Blue Plus PMAP for 2019 dates for an authorization?
I received denials for 90791-90834-90837 and our group and IOP codes for an auth. I checked on the BCBS provider site and at first it appears behavioral health may need an auth, but non of the codes are on the prior authorization list.
Thanks....Tina

Hi Tina,
Information will be going up on our new "Updates" page regarding this. We have a fix in place, as we were made aware of this issue this morning.
Please stay tuned, the update will be posted shortly.
Thank you,
Amanda

Clients Employer Co-payment Reimbursement - Requesting Very Specific Information On Receipt
Any insight you have may help.
An employer is reimbursing a patient for a copayment and they are requesting as of October 2018 DOS are now asking or the following on the receipt:
"The IRS asks to include on the receipt: Amount, Method of Payment, The Diagnosis code, Treatment Plan, and Dr's information: Name, facility and National Provider's Identifier."
I've provided the receipt from the copayment made the same day and the HCFA 1500, but the Treatment Plan, and Diagnosis Code? It seems a bit excessive. I may be wrong about it.
Does Procentive have a report that can run all of the above on one form?

Billing Medicare for Substance Abuse Treatment
I am trying to bill Medicare for Substance Abuse treatment for chemical dependency. We have a client who has Medicare as the primary provider and the secondary payer is Health Partners - PMAP. When I called Medicare to inquire about submitting a claim, I was told that I can't submit a claim to even get a rejection to send to the primary, because Medicare does not cover CD treatment. Has anyone else had this issue? Any help would be greatly appreciated
Victoria Petrik

Electronic HSA/FSA/HRA payments
Wondering if anyone has come across this scenario.....A client has a primary and secondary insurance. Primary pays and then you bill the secondary insurance. Before the secondary pays, you receive an automatic rollover HSA electronic payment from the clients primary insurance HSA account. Then you receive the payment from the secondary insurance. The automatic HSA rollovers are becoming a pain. Does anyone have any best practices for this or do we just refund the client all of the HSA dollars and wash our hands? I've tried calling 2 different insurance companies and they will not speak or take any information from me. These clients have become aggravated because they don't understand when you try and explain what is happening.

NSF Check Received Question
Does any one have any suggestions on how to apply a NSF returned check to a clients account so the payments module shows the history. We want to be able to see when we pull the client up through payments that they had a NSF. I have reviewed the Refund/NSF Module and Knowledge Hub but did not find it helpful.

ERA module
Hi, when entering the remit/ERA in Procentive, today the "save all" button at the top of the remit has disappeared on my screen, anyone else have this issue? I am posting remits and need the SAVE feature and also in the individual lines the SAVE button has disappeared. so I am unable to POST remits at this time. Please advise.

processing copay to secondary
I have been getting copay's denied when sending to secondary. Primary insurance processes and the is saved thru the ERA and then I queue it it up for the secondary and it gets denied.
Any Ideas?
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