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Resend claims not working?

Heather H 7 years ago in Payments/ERA Modules 0

For two days now, my team has been trying to resend claims (from an invoice/claims tab) and all we get is a blank white box.  Is this feature currently broken?  

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MMSI/SCHA

mboron 7 years ago in Payments/ERA Modules 0

Is anyone else missing last weeks payment from MMSI/SCHA?  We usually receive one every Friday, and did not get one this past Friday.

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Change in PMI numbers

Rochelle Garcia 7 years ago in Payments/ERA Modules updated by crystalp 7 years ago 4

Has anyone noticed that some of their client's PMI numbers have completely changed? I have had quite a few clients who have had the same PMI number for years and when I search MN–ITS it states it inactive but come to find out they have a completely new number.  Ive used names and DOB but get errors.  Not sure if this has happened to anyone or if you have any suggestions on where to find this information. Someone mentioned it could be because of the MN Sure market.  Is there a place for providers to check there? or just stick to MN–ITS?

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Availity

Ann 7 years ago in Payments/ERA Modules updated 7 years ago 4

We are not getting outpatient BCBS ERAs in Procentive.  Payments are posting, we have to go onto Availity to download the ERAs.  Is anyone else having this problem?  For example, we have check  date 5.9 for Bluelink TPA and CCSTPA, but no ERA is in Procentive.

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payment entry mode & report mode for era's not matching

dez 7 years ago in Payments/ERA Modules updated by Tina B 7 years ago 5

We have noticed with a few of our ERA's that there is information that appears in the report mode side, but when we use the payment entry mode if is not there, this is actual payments that are not using up, not denials. Has anyone dealt with this or have suggestions?!?!

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Answered

Recurring Payments using Prcentives new Credit Card processing function

anonymous 7 years ago in Payments/ERA Modules updated by Chris Werner 4 years ago 8

Quick question regarding the new credit card processing module/featurre in Procentive...is there a mechanism that allows to set up recurring auto payments. In order for us to find this to be a useful tool being able to set up automatic recurring payments on clients would be a necessary function in order for us to even consider switching over. Is this a function this product can do????

Answer
Pat Stream 7 years ago

Richard - the feature has a vault that allows CC numbers to be store securely (i.e. PCI compliant) so that they can be run on a monthly basis. However, there is not automatic recurring payments. With the vault, and if you have a reminder system else where, you can enter the credit card portion of Procentive and run the client's credit card whenever you need to. Thanks for the question!

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Posting ERA's - Changing the Payer

Kali 7 years ago in Payments/ERA Modules updated by crystalp 7 years ago 1

Good morning!


Does anyone have any Pros or Cons regarding changing the Payer when posting an ERA?
I was going post an ERA from BCBS of MN for Medicare Supplemental plan clients, I noticed the Payer automatically selects "NGS - Medicare". I've always changed this from "NGS - Medicare" to "BlueCross and BlueShield".
As a MN provider, we need to keep track of payments from Medicare and Medicare secondary payers for the Minnesota Care Tax (Provider Tax). Would it be more beneficial for us to keep "NGS Medicare" as the payer, rather than "BlueCross and BlueShield"? Are there any disadvantages/advantages of doing this? Or what has your experience been?
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Automated Credit Card Payment Processing

Kali 7 years ago in Payments/ERA Modules updated 7 years ago 4

From my understanding, Procentive is currently working on adding an online payment portal for clients to pay their bill online.

This thought may be a whole other animal, but I am wondering if this feature will include being able to pull funds automatically (ACH), without logging into a portal and making a payment?

Thanks!

Answer
Pat Stream 7 years ago

Hi Kali - we're super excited to release this long awaited feature, and it includes so much except the ability to do ACH pulls. However, what there will be is a vault feature that will securely store the patient's credit card number so that you (or they) can run it when it's time to process a payment

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KNOWN ISSUES: BCBS of MN denials

Kevin Holmes 8 years ago in Payments/ERA Modules 0

Procentive customers may have received denials from BCBS with a CARC denial code 97 or 18 for dates of service 9/26 - current. Per Blue Cross, they had a glitch in their system where it appeared that the claims came through twice and the first claim is the one with the denials. The other claims that paid should be coming through in the future on an ERA. BCBS is requesting up to 30 days for them to resolve, process, and pay these DOS.

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Fixed

KNOWN ISSUES: OptumInsight having problems with ERAs

Kevin Holmes 8 years ago in Payments/ERA Modules updated 8 years ago 2

We received the following email from OptumInsight regarding ERAs for UBH. On some ERAs from UBH, the system is not recognizing the client on the ERA. Some of the claims in the ERA will match correctly, but others will not because of this issue. In the email below, Optum says that no provider action is required at this time. They also do not have an ETA on the resolution of this issue either.


If you recognize this problem in your UBH ERAs, we recommend waiting to post these for now. Hopefully, Optum will resolve the issue soon, and they will provide instructions at that time on how to fully resolve the problem.


Once we receive more information, we will update this post.




From: Pennie, Rachel E
Date: Mon, Oct 3, 2016 at 2:53 PM
Subject: OptumInsight System Notification - ERA Issues
To:


Date / Time (Time Zone): October 3, 2016, 1:45PM

Optum has identified issues with Electronic Remittance Advice (ERA) files due to a system upgrade over the weekend. The identified issues are:

Changes within the ISA header information

The ERA naming convention

No ETA is available yet about resolution of this issue.

Provider action is not required at this time.

We apologize for any inconvenience this may cause.

Please do not respond to this email with questions.

Optum Claims Integrity & Connectivity Solutions

1755 Telstar Drive, Suite 400

Colorado Springs, CO 80920

Phone: 877-309-4256

Fax: 888.567.8880