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Tricare

Jill Benson 5 dagur síðan í Payments/ERA Modules updated by ahuseby 2 dagur síðan 2

Has anyone received payments from Tricare since the change to Availty 1/1/25?

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credit card fee

sfoster 6 mánuður síðan í Payments/ERA Modules updated by Paula 2 vika síðan 11
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How to search claims???

Rochelle Garcia 7 mánuður síðan í Payments/ERA Modules Uppfært 7 mánuður síðan 4

Does anyone know how to search for a specific claim with just the claim ID number.  The claim number usually starts with PR11.... I received a list of take backs from UCare with no information but the claim ID and amount.  I was hoping I would be able to search in the ERA module but only the batch ID numbers are listed, not the individual claim. 

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Hennepin Health payments

Heather L. Heim 1 ár síðan í Payments/ERA Modules Uppfært 1 ár síðan 4

Curious to know, has anyone with Hennepin Health clients received any "normal" payments from Henn Health with the cyber security issue?  The last two weeks, our payments were a super small fraction of what they normally are, and it doesn't look like we're getting a payment at all this week.

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CS Adjustments

TessaLasky 1 ár síðan í Payments/ERA Modules 0

We have a couple of payments that have a CS adjustment amount on top of the ERA's (where interest and FB are posted). Some of these amounts are from 2022 that they payer has not used. 

I am wondering what others have done in this case? 

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BCBS ERAs

Jill Benson 1 ár síðan í Payments/ERA Modules 0

Has anyone received BCBS ERAs yet this week?  We have not received ours yet into Procentive.

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UCare Adolescent DBT services

Jill Benson 2 ár síðan í Payments/ERA Modules updated by sarah 2 ár síðan 1

Is anyone having trouble getting UCare PMAP to process group adolescent DBT codes?    We have been billing them as H2019 U1 HQ HA and getting a CO 4 denial - but sometimes they pay them.  We've been told it's an internal error, but we are getting a lot of these sorts of denials for the group DBT.  Thanks.

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BluePlus splitting DBT group service line

Jill Benson 2 ár síðan í Payments/ERA Modules updated by Lily 2 ár síðan 2

Beginning around the middle of October 2022 we have noticed that for some BluePlus members, their group DBT service lines are being split into two service lines at the Payer level creating a nonpayment and an underpayment.  So if we bill 8 units, BluePlus is splitting it into two service lines with 4 units each and thus paying only one and denying the other 4 units as duplicate.  Is anyone else experiencing this?

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Blue Plus Eras

NikkiP 2 ár síðan í Payments/ERA Modules updated by Lily 2 ár síðan 7

Is anyone waiting on Blue Plus ERAs coming through Procentive? We have not recevied one since 10/11/22