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). 

The most recent MA remit is showing a denial remark code N21 “your line item has been separated into multiple lines to expedite handing”. I understand what’s going on, but DHS says its an issue on our end, and I believe its on issue on their end. This started to

Are any of you billing 90 Degree Benefits for your clients? On the 90 Degree website it says "If you send EDI claims to Change Healthcare, please update the platform to Optum Healthcare." We reached out to Procentive who told us they only use Availity for electronic submissions and there is not an option to use a different clearing house. What are others doing in this situation? It seems to me like we shouldn't have to submit paper claims.