We are newly licensed Rule 31 and Cigna let us know that they reimburse H0015 for outpatient CD services. 

Does anyone else have experience billing H0015?

Thanks,

KIM

Happy New Year! 

Is anyone out there with a consolidated NPI using Procentive's eligibility check module? That is, an NPI that has two separate taxonomies on MNITS (one for CD and one for mental health). How is this working? Since DHS approved our Rule 31 enrollment and added the taxonomy code, we've not been able to use our agency NPI and the Eligibility check in the client record. Please help!

Hello all,

 does anyone know a setting or another fix for the apt screen on an Ipad pro? When we are in our calendar, several hours show that we do not use, making our providers scroll down to get to their day. there is no "scroll" bar on the right side as there is on a PC. Thank you in advance.

Sorry if asked and answered but which form triggers the signed release for billing purposes.

Wondering if something happened because of Christmas, maybe? We usually get around 8 or 9 different remittances from MN-ITS, only got 2 this week. Another organization I contract with also did not get the remittance from MN-ITS through Procentive, either.

This is an important notice specifically for providers who serve patients with TriCare. As you may have heard, TriCare is changing effective Jan 1, 2018.

What does this mean for you and what you do? In order to continue receiving payments from TriCare, the Procentive Customer Care team has identified steps that are important for your organization to complete before January 1, 2018. The exact steps depend on which TriCare Region you bill to. Please be aware you may need to make changes to more than one region.

If you bill to TriCare West:
(Procentive is switching clearinghouses for this payer)

• To start/continue receiving ERAs (electronic remittance advice) into Procentive for TriCare West, please complete this form and fax to TriCare (attn: T2017 West EFT/ERA) at (1-888-282-2841).
• Send the form to Procentive via fax (1-888-354-9053) or upload in a Support Ticket.
• To receive or continue to receive EFTs (electronic funds transfer) from this payer complete the EFT paperwork again.
• Verify with TriCare that you are still credentialed with the correct claims processor. If you are not certain who your claims processor is, please call your Provider Representative at TriCare.

If you bill to TriCare North and/or TriCare South:
(They are merging to become TriCare East)

• To continue submitting claims and receiving payment, enroll for claims submission, ERA and/or EFT by completing the instructions within this document.
• Once the enrollment steps are complete, then notify Procentive (via a Support Ticket). This step is necessary so that Procentive can complete the process on your behalf.
• Verify with TriCare that you are still credentialed with the correct claims processor. If you are not certain who your claims processor is, please call your Provider Representative at TriCare.

Please don't hesitate to contact the Customer Care Team via a Procentive Support Ticket if you have questions.

When I go into any Payer Module --> "Rates Tab" the remainder of the tabs that open up below the "Rates Tab" do not display the names.  They're cut off and I cannot read which sub-tab I am in under the "Rates Tab".    Anyone else experiencing this??

Does anyone know how to bill for a client who is homeless.  In order to bill in Procentive you have to have those yellow fields completed but if I dont have that information not sure how to proceed.  Any suggestions???

Is there a Procentive feature that prevents services from being billed before the DA is complete? 

Good Morning!

We've received the following notification from the clearinghouse in regards to select ERAs from UBH:

Some 835's for UnitedHealthcare Community Plan from check date 11-25-17 through 11-28-17 are delayed. Affected check numbers will begin with "20171125". This issue is escalated; however we do not have an ETA at this time when all of the remits will be delivered.

Any additional updates will be posted to this Known Issue as they become available.