Good afternoon,

We're looking for feedback as to if other providers are experiencing being asked to 3rd party bill for interpreters joining their H2017 and therapy sessions or if most interpreting agencies are now contracted and doing their own billing to PMAPs? We haven't had a problem with Blue Plus but UCare won't electronically bill without an MDH Roster ID. Does anyone know where to get that ID and how to bill using it?

Thank you for any insight!

We are being told by Health Partners PMAP that they still want to see the room and board line along with our treatment line, including the value codes.  Currently claims are not clearing electronic for these as the claims have more than one value code on them.  Is anyone else having an issue with this and how are you getting around it.  This is in MN...

Hello,

Is anyone else recently experiencing denials for all of their residential claims from HP-PMAP? We are getting the N345 code but can see that we have the right dates and units billed. Nothing has change on our end, but all our claims have started denying. If you have experienced this, have you found a solution?

Help! is anyone else experiencing issues with claims going to BCBS pmap and the date range is only showing  "1" unit?  I opened a ticket on 8/31 and I still have no resolution from Procentive.  

Is anyone using the electronic feature for statements?  I'm wondering how it's working and if there have been any glitches before I switch over. 

Has any SUD providers figured out how to bill with the Value code for Blue plus claims since they want us to stop using the HCPC code/combination effective 5.1.22. They say they do not want to see any HCPC for the TX line they want a value code to be billed. Only 1 value code can be billed on a claim and I am billing with that for the room and board part of the claim. I have asked my Provider contact person with no help.

Also since i turned on the Value code option on my payers BCBS pmap and UCARE the claims deny for use of said Value code. Procentive wont let it out the door. What a mess....

Hello,

Currently procentive seems to "force" an attending provider to be noted on our UB04 forms so we chose our Presidents info a while back for this. However, technically under SUD all the LADC's are housed our our facility itself and we are billing a day rate bill out. 

I am wondering how others were able to by pass this requirement on procentive in order to bill  ? 

Thanks!

I sent out claims electronically on Friday and when I went to the Electronic Module this morning claims are still in "sent" status versus received.  Im not sure if there was any updates that were made in Procentive that these electronic claims have not been received yet. I also had no ERAs this morning which is odd for a Monday morning.  Is this a clearinghouse issue?

Hello - We are in the very early stages of opening a Withdrawal Management line of business. Does anyone use Procentive for clinical charting and billing? Thoughts?

I have always worked with 245G SUD services so this is new for me. - Thank you JRL

In the near future, we are hoping to add a Nurse Practioner to our facility, we are Residential Treatment for Adolescents Co-occuring.

  Our biggest hurdles are: 

1. how do we bill for her services,   Rev code, procedure code, etc.

2. Do we need to be credentialed by the insurance companies to add this service for billing?

3. We bill UB-04 can we bill for her services on a UB or do we need to use the 1400/1500