0

South Country claims

michelew fa 6 anys en Billing/Electronic Modules updated by John-Debbie Trunk fa 6 anys 1

Is anyone else having problems submitting claims to South Country?

0

Need help finding a report that is able to pull data from the Client Module/Phone tab

Calah Hansen fa 6 anys en Reporting Module updated by teresa trepanier fa 6 anys 1

We would like to be able to pull data specifically on the following fields in the Client Module/Phone tab.  Report #3400 seemed like a natural fit but didn't see the fields we are looking for.  Anyone else use a specific report to pull these fields?

  1. Reminders on Days before appointment
  2. Reminders on Day of appointment
  3. Send appointment reminders to

Thanks in advance for any suggestions!

Calah

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Has anyone received denials from Blue Plus PMAP for 2019 dates for an authorization?

Tina B fa 6 anys en Payments/ERA Modules updated by Karen H fa 6 anys 23

I received denials for 90791-90834-90837 and our group and IOP codes for an auth. I checked on the BCBS provider site and at first it appears behavioral health may need an auth, but non of the codes are on the prior authorization list.

Thanks....Tina

Answer
Amanda Kaufmann fa 6 anys

Hi Tina, 

Information will be going up on our new "Updates" page regarding this. We have a fix in place, as we were made aware of this issue this morning. 

Please stay tuned, the update will be posted shortly. 

Thank you, 

Amanda

0

Problems with New Blue Plus Subscriber IDs in Procentive

vpetrik fa 6 anys en Billing/Electronic Modules updated by anonymous fa 6 anys 19

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! :)

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Repeated "session errors"

Jonathan Beulke fa 6 anys en User Group Help updated by Deanna Cahoon-Draus fa 6 anys 3

Has anyone else been experiencing random & frequent "session errors?"

I've tried clearing out cookies, cache, browsing history, download history, with no luck.  

This specifically happens consistently, when I try to open a module in a new tab, which I have been doing for as long as I can remember.  Also having the same problem when I click on "Help" and "Chat" which is why I'm posting here.

I'm currently using Chrome on Mac.

Answer

The session errors have been resolved as of yesterday, 1/8/2018

If you are continuing to experience the session errors, please send in a ticket to Procentive

Deanna

Customer Care Specialist

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Fixed

UCare Claim Rejection

Amanda Kaufmann fa 6 anys en Billing/Electronic Modules actualitzat fa 6 anys 14 1 duplicat

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 

Answer
Amanda Kaufmann fa 6 anys

Hello, 

The clearing house and UCare have worked together to resolve the issue that occurred when sending claims to UCare Payer ID 52629. Due to this issue, all claims that were previously submitted then rejected will need to be re-submitted. 

Thank you,

Amanda Kaufmann

Customer Care & Training Specialist 

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How to send claim attachment for electronic claims

Marsyl Warren fa 6 anys en Billing/Electronic Modules updated by crystalp fa 6 anys 1

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?

0

Is there any way to bypass Medicare part B and bill private ins. for LMFT (non-enrolled)

Marsyl Warren fa 6 anys en Billing/Electronic Modules updated by Mark Cornell fa 6 anys 2

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????

0

2019 Psychological Testing Codes

Andrea Drews fa 6 anys en Codes/Rates/Diagnosis Modules updated by Vicki/Billing fa 6 anys 6

Has anyone had any luck finding the Medicare and MN Medicaid Fee Schedule for the new codes 96130, 96131, 96136, 96137, 96138 or 96139?