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? 

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

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.

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. 

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.

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?

We have been noticing that since the beginning of the year we have been getting paid less than half of what our usual contracted rate is for residential substance abuse treatment. Has anyone else been experiencing this? Do you know if there is new contracted rates?

Can someone explain automatic adjustments? I've noticed that they appear out of no where. Why are they popping up and how are they getting the information? Last month, I had to clean up many patient accounts for statements because the adjustments were everywhere.

Any information is appreciated.

Thank you!

Has anyone in the past used Care Credit or another medical credit card for clients to apply for and then they use that for paying for services, or if they accrued a large balance, have them apply for it then they would owe Care Credit the balance and not your clinic? I know now that we have the Vault feature that this could perhaps take place of a care credit type of card.

Thanks in advance.