Do not know what this field is actually supposed to contain when entering a Medicare or Medicare Advantage plan into a patient's payer - not finding anything at CMS either.  Anybody have an idea???

I was told by a Medical Assistance rep that we need to have a claim status of 16 when billing a Medicare Advantage plan to MA...I am not sure how to make this happen...ideas or suggestions???

We are consistently getting denials from MA when billed as secondary saying "missing other plan informaition" - specifically when primary is Medicare or a Medicare advantage plan.  The COB is correct and have tried adding the svd segment manually, nothing works.  Any ideas?

The 2ndary claims stopped rejecting.....but now the primary insurance COB isn't travelling on the MA 2ndary claims so MA denies for missing primary COB- when the COB is populated. Ahh!! help

Anyone receiving denials from BCBS Federal for DBT H codes done via telehealth?  We are getting pushback from them and lots of different answers for MH services in general done via TH stating these services need to be done through Teladoc.  

Is anyone having issues with signing into Therapy Brands? We are getting a message: "can't reach this page". This is also affecting E-Prescribe capability.

Hi Everyone,

I am wondering how you all are handling this transition of new Optum payers that have been added so that we can send the U5 modifier with the DQ qualifier for our clinical trainees. Specifically, if you have a clinical trainee and a licensed provider seeing the same client with one of the payers that procentive split so clinical trainee and licensed people are billing different payers in procentive.

Any feedback on this change would be appreciated! 

Effective December, Medicare and plans are denying any F43 code (F43.1, F43.23 etc).