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Tricare

Jill Benson 5 днів тому в Payments/ERA Modules оновлено ahuseby 2 дня тому 2

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

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credit card fee

sfoster 6 місяців тому в Payments/ERA Modules оновлено Paula 2 тижні тому 11
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How to search claims???

Rochelle Garcia 7 місяців тому в Payments/ERA Modules оновлений 7 місяців тому 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 рік тому в Payments/ERA Modules оновлений 1 рік тому 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 рік тому в 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 рік тому в 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 роки тому в Payments/ERA Modules оновлено sarah 2 роки тому 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 роки тому в Payments/ERA Modules оновлено Lily 2 роки тому 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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Is anyone missing their OPTUM/Medica/UHC/Medica ERAs from 11-7, 11-8 and 11-9?

Tina B 2 роки тому в Payments/ERA Modules оновлено sarah 2 роки тому 8
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Blue Plus Eras

NikkiP 2 роки тому в Payments/ERA Modules оновлено Lily 2 роки тому 7

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