We are looking for tips and ideas for making our processes more efficient with regard to verifying client insurance and updating their benefit information as of the first of the year.  We are running into a seemingly never-ending abyss of stacks of paperwork that need verifying, and we have more clients than last year, which has us a bit worried about the upcoming task at hand.  With long wait times for calling to check benefits, updating information in a timely manner is nearly impossible.  We are thinking about adding temporary staff, thinking about efficient ways to use and train them - AND we would be interested in any procentive ideas that may be helpful, or any workflow ideas and processes that work well for you to keep this moving along and as efficient as possible.  Thanks! 

We have been made aware that all claims sent to BCBS of MN (ID SB720) are returning with rejections, as seen in the Electronic Module with a status of "Has Rejections". The rejection message reported on the batch report is as follows:

Category: Acknowledgement/Rejected for relational field in error. Status: Submitter not approved for electronic claim submissions on behalf of this entity. Entity: Submitter.

This is currently being researched with the clearinghouse as the issue seems to span all agencies. When more information is available we will post it here for you.

At this time, please do not resend claims; we will let you know if this changes. 

Thank you!

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!

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?

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!

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?

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?

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?

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

Thanks!

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