Anyone else having all of your H2019 U1 and H2019 U1 HQ (DBT codes) denying from Aetna or BCBS PMAP for DOS in 2017? Aetna is denying CO 45 because the system is not recognizing the modifiers of U1 and U1 HQ. Similiar issue with BCBS PMAP, their new claims system is not reading the modifiers, so they are denying CO 96 bc they think it's a hospital visit. This impacts our clinic in a huge way. If you're having the same issues, please contact your BCBS rep and let them know so they will understand how big of an impact this is. We don't really have an Aetna rep, so I have no one to communicate this with, except calling to get the claims reprocessed, which I should not have to do!

Hi everyone!

Last week we had our webinar on Direct Messaging. If you were unable to attend or are interested, you can view it below or go to our Knowledge Hub article about it here.

Great news! Our electronic client payments integration is now up and running. We just recently did a live demo last Thursday. But if you weren't able to attend, you can view a recording of it below or view an article on it in our Knowledge Hub here.

We are very excited to be partnering with Complete Merchant Solutions for this integration into Procentive. If you know that you are interested and want to find out more information, simply click here.

Getting many reports from frustrated clinicians that Procentive is extremely slow today.

I have ruled out our network, which is flying.

This is getting to the point that the management team and I are actively looking into alternatives. This ammount of downtime/slowdown time is unacceptable.

We are aware of multiple missing ERAs from United Health Care which is the umbrella that covers multiple payers including United Behavioral Health. A case has been opened with the clearinghouse to address this issue and we will post another update when we have more information.

We discovered this morning that when you select to show "all Tickets connected to me" in Ticketing, the system was displaying all tickets for the entire company. We are working to resolve this issue now and should have it fixed soon.

When staff are going into the ticketing module, they are getting the entire list of tickets for the agency, not just their's even when they choose the appropriate filter at the top. Is this occurring anywhere else?

As of this year there is a new requirement for outpatient counseling for UCare for Seniors clients. A prior auth is required for anything other than an intake. This caught us by surprise and the provider newsletter it was featured in was very obscure.

Has anyone else experienced consistent denials with Aetna for med mgt codes: ie 99213, 99214, & 99215 for various reasons including no authorization, no referral or provider type cannot bill this procedure? Every time we call to see exactly why it denied, we get different answers. I've spend 1 hour today, trying to get to the bottom of it and I still don't know if I'm clear with what we need. Some reps say the plan needs a PCP referral, another rep says we need pre-auth, pre-cert dept says it's not needed for mental health, some say add modifier 25, etc... help!

Procentive is running very slowly. Some staff are seeing display issues (what they just entered not showing up). I already have a dozen email messages from staff about it at many locations, so we have ruled out a connection issue.