Is anyone else having issues with Availity-specifically with UCare?  I have an entire invoice that was never received by UCare and I have verified eligibility, credentialing and everything else I can think of, resubmitted the entire invoice both in entirety and also in several smaller invoices (client by client) and the information is just not reaching UCare.  Also, the interest isn't carrying over on my ERA's, when I actually get them.  So far I have had 4 ERA's this year that were never loaded into Procentive and I am getting frustrated.  A representative at UCare just told me about a clearinghouse called MN E-Connect.  Thoughts?  Suggestions? 

Hello!  Has anyone else had this happen today?  There were 4 different ERA's I posted this morning, and now they have disappeared in the ERA Module.   There was 1 ERA I hadn't posted yet, and it's no longer there.

Anyone else have the issue of trying to refund a client account in Procentive, and it will not pull up the client?
Does it matter if the payment is in a 'closed period'?

Question:  Does anyone require their clients to store a credit on file, at your office, in case they get behind on their balance?  If, so do you automatically run it for the agreed amount?  Is this ethically ok to do?

Good morning!  I am wondering if anyone has advice on managing the process of reimbursement rate changes from our various payers.  Do you rely on the bulletins that are sent out or do you just watch the EOBs to know if/when rates change?  Or do I need to be going online and watching fee schedules?  If you are able to respond and let me know how this is done at your organization I would be grateful.

Thanks & have a great day!

Jill

Has anyone else received their letter/invoice from BCBS in regards to the overpayment of Medicaid claims that were paid at a CMHC level, incorrectly? And is so, what is your plan to identify and "internally" re-process ALL of the affected claims?

Is anyone else missing ERA's from BCBS from this past weekend? I normally get some decent sized ERAs and have not yet received BCBS commercial and only a smaller than normal Blue Plus.

Has anyone else recently (in the last month or 2) received denials for DBT services (H2019 U1 and H2019 U1 HQ) from straight MA with denial reason CO 8? We called a month ago and got case #'s bc they didn't know the issue. Called today and they was still not un update on the cases we gave them but the rep I talked to mentioned 'they' recently termed DBT certifications for providers and didn't let any providers or 'us' (I think she means the call center reps) know. She said they have been getting a lot of calls bc of this.  One denied claim she checked for us, she said it shows the provider DBT certification termed 10/14/14, which we know it really has not termed. Rep stated they want providers to resend in their DBT certifications again. 

While I'm looking at payments (in the Payments module) I click on the ERA and it won't give me information for that specific provider. For instance, I'll want to see the MN-Its ERA for a DOS, and it will give me the ERA for their commercial insurance instead. Any reason why or can this get fixed?

Any other clinics not receive their ERA from PrimeWest Health today 9/1/2017?

Thanks!