We are getting ready to start billing the new testing codes and we are not sure what we should charge for these new codes. Could anybody share their fees or thoughts?

thank you!

Hello,

I am just wondering what other companies do for the signature box on the paper invoices. There is a signature box with a staff name underneath it (pulls from payers module-->Payer Rules--> Custom staff name). Do any of you have multiple people billing paper claims? How do you go about having the staff name match the person signing off every time in this case? Is there a way to have a general staff name here that would still work for billing? Just brainstorming ideas.. 

Good afternoon,

Has anyone received any remits yet from Amerigroup (BCBS PMAP) claims? 

Is anyone else having issues with tickets in Procentive being addressed in a timely fashion? The last couple of tickets I have sent into Procentive, it has taken at least a week for someone to get assigned to my ticket, and longer to answer the question. I wouldn't normally be bothered, but with the new changes to the payer IDs as of the beginning of the year, it has really caused an issue with billing services out in a timely manner. Thank you!

Is anyone else having problems submitting claims to South Country?

Hello! At the beginning of the year, all of our Blue Plus clients received new Policy Group Numbers and Individual Policy Numbers. I tried to input these numbers along with the new payer Id for BCBS of MN - PMAP and it was rejected in the system in Procentive. Procentive is not able to read the new subscriber numbers. Is anyone else having this issue? Any feedback would be greatly appreciated! :)

Hello, 

We have been made aware of the issue in regards to claim rejections occurring in the Electronic Module for UCare claims submitted to the payer ID 52629. 

We are currently working with the clearing house, and payer in order to determine what the cause of the rejection is on their end. Please hold off on submitting claims at this time. We will alert you when we receive a resolution and determine if all claims need to be re-sent at that time. 

Thank you,

Amanda Kafumann

Customer Care and Training Specialist 

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?

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????