How to send claim attachment for electronic claims
We have instances where additioinal documentation is regularly needed for a claim - I know there is some way to send a faxed claim attachment with a referral number, but have not tried it. Has anyone had experience with this and how successful was it?
Is there any way to bypass Medicare part B and bill private ins. for LMFT (non-enrolled)
We are not Medicare enrolled practice-wide. Most of our practitioners are LMFT, which Medicare does not cover any way. We don't seem to get a straight answer from private (commercial) insurance about whether we can bill with the GY modifier or some other method to bypass Medicare and bill them. Any help????
Is anyone else having issues verifying the new Blue Plus ID's and groups since the 1st of year?
Billing codes 99050 & 99051
Does anyone have any input on codes; 99050 or 99051? These are "after hours" billing codes, from what I understand.
Thanks, Sara
KNOWN ISSUE: SCHA and MMSI Error Claim Response
KNOWN ISSUE:
Some claims submitted to SCHA Payer ID 81600 and MMSI Payer ID 41154 through Claim Lynx are returning with an Error Status since 12/04/2018.
Claim Lynx has informed Procentive that this is an error with the Payers. They are evaluating this issue and working towards a fix by end of day 12/07/2018.
According to Claim Lynx if you have received the status of error, you do not have to resend your claims. The claims have been received by Claim Lynx and will be processed by the payer once this issue is resolved.
If you have further questions please contact Procentive Customer Care via ticket.
This issue has been resolved by the payer. If you have questions please contact Procentive Customer Care via ticket. We will be happy to walk through all issues with you.
Thank you,
Rachael SMith
Onboarding and Implementation Team Manager
BCBS commerical plans issue with H2036
I have inherited a problem with BCBS commercial plans when billing 1002 and H2036 HA, HH. We bill multiple units for each and on a invoice I have noticed that they are reimbursing as for the Room and Board however they are NOT reimbursing us correctly for treatment services. When I called BCBS they stated this was because of a date range issue however I have been told by Procentive that is not accurate and that I need to remove the HCPCS code from the claim.
Does this sound familiar to anyone? what do you do to get your claims paid? I have noticed that we have been taking LARGE adjustments on H2036 and would greatly appreciate hearing what worked for you to get your claims paid.
Billing for medical records
Billing Secondary Payer/COB
Our facility has never billed secondary payers. I am trying to get this set up but seem to be struggling.
Can anyone share best practices, tips/tricks, workflows, lessons learned...?
Do you bill the secondary when you are posting the ERA/Payment via the ERA Module?
Do you do everything manual in the COB Tab?
Billing for PHQ, GAD, etc.
Is anyone currently billing or had any success in billing for assessments such as the PHQ, GAD, etc?
Customer support service by UserEcho
