Hello - I'm curious if anyone has received a UCare remittance since late December.  I understand payments were delayed, but their portal states a payment would be received the first week of January. Our facility has not received a payment.  Anyone receiving payments?  Thanks.

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

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. 

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.

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? 

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

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.

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?