Hello, 

I am getting a rejection from SCHA for a chemical health assessment (H001 0900) for just one client stating:

Category: Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the Status details and has been rejected. Status: Claim/submission format is invalid

Category: Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the Status details and has been rejected. Status: HCPCS

Category: Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the Status details and has been rejected. Status: Date(s) of service

I have verified eligibility for the date of service.

I opened a ticket with Procentive and they are saying that I need to send the claim as a Professional claim but we have ALWAYS billed as institutional without errors. I am SO confused and frustrated. Has any other CD billers ran into this issue with SCHA? Was there an update I missed regarding SCHA not accepting assessments as institutional claims? 

Thanks, 

Katie 

Does anyone bill telehealth services to Medicare? If so, what modifiers do you use and/or CPT codes and do you change the location to POS 2?

Thank you

When billing Professional claims (Institutional box unchecked in "Create New Invoices"), we frequently get the message "A supervisor with a valid NPI is required."  Is this a setting in Procentive that triggers the notification or just a default of Professional billing?  If it's a setting, where is it found?

Is anyone else noticing a huge influx of rejections within the Electronics module? We would rarely get rejections and now it seems like I can hardly keep up and I have no idea what the issues are. I understand the issue with Blue Plus does not help but I am also seeing other payers rejecting and I'm wondering if there is an issue within Availity? I have created tickets for help but that seems to be taking foreverrrrrr. Example of a rejection - billing UMR for a client we have received payments previously and it appears most of the client claims are being accepted but a couple random ones are rejecting stating  "Acknowledgement/Returned as unprocessable claim-The claim/encounter has been rejected and has not been entered into the adjudication system. Status: Subscriber and policy number/contract number not found." Just feels like i'm going in circles in the electronics module.... Can anyone relate? Or help?? 

Attention Procentive Customers:

We would like to inform you that we will be conducting maintenance on our systems on January 31st at 10:00 PM CST/11:00 PM EST. Users will experience downtime for 30 minutes and potentially up to 2 hours.

This maintenance is necessary to ensure that our systems are running at their optimal performance and to provide you with the best possible experience. We apologize for any inconvenience this may cause and thank you for your understanding.

If you have any questions or concerns, please do not hesitate to contact our care team by submitting a case to Procentive through our new Therapy Brands Community Portal.

Attention Procentive Customers:

We will be offering office hours this week for users to join and ask any questions as it relates to the Therapy Brands Community Portal.

Office hours: Click here to join the meeting

Thursday, January 18th at 11 AM CST - 12 PM CST

Friday, January 19th at 1 PM CST - 2PM CST

First I'd like to say I am trying to keep an open mind and am all in favor of change, if it make sense and is actually more efficient.

I'm wondering how the new claims system is working for others? Are you also seeing a delay in response times?

I am struggling with generating a claim and no longer being able to link it to a page. It would be useful if the ticketing system continued to exist but they filtered it into claims for us. I find it challenging to generate a claim, copy and paste information from Procentive and hope you have it all going between two systems and then when you do receive an update, you have to go back into Procentive to hunt and search for where you were needing assistance. I am not overly fond of the feed system and entering in a comment as you are unable to minimize the comment box to read other comments. I usually have to prep my comment in a word document to ensure I am capturing all I need from the claim and then copy and paste into it. Not a very good use of time or ease of use of the product.

I am trying to understand how this new system is advantageous to us as customers when we have to log into yet another portal/website, no longer having access directly to page issues in Procentive and delays in response times. I'm not sold that this is a more useful and better system.

Wondering what others think of it and if you are loving it, please share any tips or useful things you are experiencing please.

Attention Procentive Customers:

We would like to inform you that we will be conducting maintenance on our systems on January 17th at 10:00 PM CST/11:00 PM EST. Users will experience downtime for 30 minutes and potentially up to 2 hours.

This maintenance is necessary to ensure that our systems are running at their optimal performance and to provide you with the best possible experience. We apologize for any inconvenience this may cause and thank you for your understanding.

If you have any questions or concerns, please do not hesitate to contact our care team by submitting a case to Procentive through our new Therapy Brands Community Portal.

Never even knew we were changing Tickets to this portal, can anyone explain how I can open a ticket in here to communicate with procentive as I did when adding tickets, please?

Here are a Few Helpful Tips and Reminders

• The Community Portal is live! Portal invites have been sent out to create your username and password. *If you do not see the email from support@therapybrands.com, please check your spam or junk folder. If it is not in your spam folder, please contact support by clicking Contact Us on support.therapybrands.com and submitting a case (ticket).
• Following the link that was sent will allow you to set a password for the Community Portal and grant you access to your new account. Make sure you save your password so that you can easily access the Community Portal in the future!
• Once your password has been created, please log-in to the Portal at support.therapybrands.com prior to submitting a case.

Please also check your spam or junk folder for any case responses. Once you mark the sender as a "known sender," these should no longer feed into the spam or junk folders.