Recently for Blue Plus when billing out individual lines of 96101 they will pay on one line and deny the others saying it is duplicate.  I was told that I now have to use a modifier to bill these out? What modifier should I use? I am only having this issue recently with Blue Plus. 

Does anyone else bill BCBS for substance abuse? We are constantly getting rejections by BCBS, and the status is always vague:

Error Message:         Category: Acknowledgement/Rejected for Missing Information  The C
laim/Encounter is missing information specified in the Status details and has been rejec
ted Status: Information submitted inconsistent with billing guidelines. Note: At least o
ne other status code is required to identify the inconsistent information.

This happens to probably 75% of the claims I bill out, and I can't seem to pinpoint why...

Medica and MHCP are no longer accepting the GY modifier, they state that they have to have the primary EOB, but we can't send claims to Medicare if the provider is not in network, meaning we can't send the EOB. Ideas, thoughts?

Is there a way to get COB information to flow over for manually entered claims instead of going into the COB tab and entering them yourself. This is the first billing system I have used that required it to be manually entered like this even with hand entering the payment.

Good morning!

Therapists with our agency will often do skills based services in the community.  This can occur in a variety of settings which may include restaurants, schools, library, etc.  What is the appropriate place of service to bill in this instance?

Thanks & have a great day!

Jill

Every client I try to send claims for today I get the error, The client address must not be empty or have spaces before or after. However there is nothing wrong, anyone else having this?

Does anyone know if Commercial insurance plans only allow a certain number of Diagnostic Assessments to be billed to them in a year? 

Hello,

We are a residential rehab facility. We have mental health and a nurse practitioner onsite. How do we go about billing their services? We have currently tried with our NPI as the billing provider and were rejected due to a "Rehab facility billing for a professional bill." 

Any advice is greatly appreciated ! 

Thanks! 

I am working in the MNITS site and am having a hard time to get the H0032 code to pay. It is saying "modifier" issue. Does anyone else use this code for CTSS services and if so what modifiers are you using

For CTSS services, when MHPs are not able to meet with clients in the home (for whatever reasons) what would be the best choice for Place of Service??? Thanks