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Fixed

KNOWN ISSUE: MN MA (DHS) Eligibility

Ashley M 7 ár síðan í Known Issues Uppfært 7 ár síðan 1

PER DHS:

I have reported a Connection Time Out error being returned for our Real Time application starting before 10 am CDT today.  Our Operations team is looking in to cause and a resolution.  No ETA at this time.


Eligibility though DHS is coming back with a Connection Time Out error for most users and DHS is working on a resolution


Please watch this post for updates as they become available!

Answer
Ashley M 7 ár síðan

This is resolved.

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BCBS Rejected claims

Deb Fitz 7 ár síðan í Billing/Electronic Modules updated by Pat Stream 7 ár síðan 4

All of our  BCBS electronic billing files rejected with the error "Submitter not approved for electronic claim submissions on behalf of this entity
 Entity: Submitter"  Anyone else experiencing this?


Answer
Pat Stream 7 ár síðan

Good morning!  

Our Support Team has opened a case with the clearing house about this issue and they're currently waiting for a response. I will post a reply here once we know the issue and resolution.

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New SCHA (MMSI) Requirement

Ashley M 7 ár síðan í Known Issues 0

We have been informed today by the clearinghouse that beginning with DOS 8/1/17, all claims for South Country Health Alliance sent an NPI number must also include the corresponding taxonomy code on the claims.


This means anywhere on your claim that there is an NPI (billing NPI, provider NPI) the corresponding taxonomy must also be sent.

Unfortunately, this is the first SHCA has notified the clearinghouse of the change and the clearinghouse suspects that there have already been denials for claims with DOS 8/1/17 and

forward. 


Please review this Knowledge Hub article to ensure your SCHA payer is setup correctly!

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Billing Insurance vs Private Pay

Rochelle Garcia 7 ár síðan í Accounting/Collections Modules updated by sarah 7 ár síðan 15

Hello,


Just a general question here...I would like to get advice or know what do other clinics do when a new client with insurance requests that we not submit claims to insurance and would just rather pay out of pocket.  As providers, if we know there is insurance should we submit to insurance or just allow the client to pay out of pocket? Does anyone have self pay policies they would be willing to share?

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ERA's not matching up in Payments module

Kayla Kenworthy 7 ár síðan í Payments/ERA Modules 0

While I'm looking at payments (in the Payments module) I click on the ERA and it won't give me information for that specific provider. For instance, I'll want to see the MN-Its ERA for a DOS, and it will give me the ERA for their commercial insurance instead. Any reason why or can this get fixed?

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Client Module/Program Tab and reporting

Calah Hansen 7 ár síðan í Reporting Module updated by mmckennan 7 ár síðan 3

Does anyone use the "Inactive" checkbox and dates hyperlink in the Client Module/Program Tab?  We started using this keep track of when client enter and exit programs and also returning clients to the program.  How does this feature work for everyone?  Are there any standard procentive reports that will help me figure out a list of clients enrolled in a program during a specific length of time based on the dates?

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ERA PrimeWest Health 9/1/2017

Kali 7 ár síðan í Payments/ERA Modules updated by ahuseby 7 ár síðan 3

Any other clinics not receive their ERA from PrimeWest Health today 9/1/2017?

Thanks!

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H2015 UA location

Kayla Kenworthy 7 ár síðan í Workflow Module updated by Kris Copeland 7 ár síðan 1

For a H2015 UA code, what would you put for the place of service? I've had it office, telehealth, etc. and MN DHS will not cover

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report 3560 - Procentive Statements

Ashley Kallod 7 ár síðan í Reporting Module updated by Kali 7 ár síðan 2

Is anyone having an issue with report 3560 today?  We are trying to generate statements to send out to our clients, but we aren't getting very far!  I have set the parameters I want, and Procentive builds the statements, but the PDF fails to load.  I have been trying all morning and even moved to couple of other computers in office thinking I was having a compatibility error, but still no luck :-/

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Workflow not working

Rochelle Garcia 7 ár síðan í Workflow Module updated by Ben Simpson 7 ár síðan 5

Hello


Has anyone experienced the workflow module not working today? All of our staff has complained about their workflows popping up from 2014.  Even after sorting and filtering it still shows all of the projects in the module.