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KNOWN ISSUE: Payer ID 61104 for Humana has been discontinued

Ashley M 7 лет назад в Known Issues 0

As of 8/1/17 Humana has discontinued their Behavioral Health ID 61104. All claims for Humana should now be sent to the existing Humana ID 61101.


If you are submitting claims to Humana Behavioral Health using the payer ID 61104, you may see this rejection:

Error Code: RECEIVER_FAIL
Error Message: The payer ID is not valid. Please correct and resubmit the failed transactions.

If you receive the above rejection and have not already resubmitted under the Humana payer ID 61101, please submit a ticket to the Procentive Support Desk and we will update your Payers Module to use ID 61101.


Thank you!

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Clinical/charting

teresa trepanier 7 лет назад в Clinical Charting Module 0

I have a few questions I am hoping can be answered in this group. Is there a way to copy a form template in Procentive and rename it to have all staff utilize? I know that I can copy a note that is already in a client's file, but I would want this to be a form that staff can choose. We are wanting to have a form for Tx Plan Development. Is Procentive the only one that can change forms etc...

Second we have multiple programs and would like the Tx Plan to flow to each program with one Tx plan instead of having let's say one tx plan for CTSS and another for MH. Is this a simple as adding the program to the Tx Plan form? 

Thank you for any information

Teresa

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Integrated Credit Card Processing

Kari Droubie 7 лет назад в User Group Help обновлен sarah 4 года назад 6

My organization is considering Integrated Credit Card Processing.  For those of you currently using this feature, would you recommend it?  What are the pros and cons you would suggest considering before moving forward?

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Billing a ITP and FA on the same day

Kayla Kenworthy 7 лет назад в Billing/Electronic Modules 0

Can one provider bill a Individual Treatment Plan and another provider bill Functional Assessment on the same day?

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Coping DL or ID cards

Tanya Milner 7 лет назад в Billing/Electronic Modules обновлен 7 лет назад 7

I have been told that we need to copy a clients DL along with Insurance card when they come in as new clients. I have a client who has refused and doesn't want her DL copied. Is there something that I can show her in writing that we are required to get this. She called BCBS and was told she does not need to provide this to us. I need to get back to her on this, any thoughts or suggestions?

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Slow Servers - Time & Billing Modules

Kali 7 лет назад в Time Module обновлен Jana 7 лет назад 1

Is anyone out there experiencing this?

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tracking & documenting case consult attendance

Kim Ross 7 лет назад в Appointments Module обновлен sarah 7 лет назад 1

Is anyone using Procentive to track & document staff attendance at case consults? We are looking at creating and using a non-billable code and a case consult Procentive document so staff can log easily log their attendance by doing a time add like when they have client appointment. It would be helpful to know what others have discovered so I can avoid all the trial and error! :) Thanks in advance. 

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New Year - Verifying Insurance

Kaia Ellis 7 лет назад в Clients Module обновлен 7 лет назад 10

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! 

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Исправлен

KNOWN ISSUE: Claims Sent to BCBS MN (ID SB720) are Rejected

Ashley M 7 лет назад в Known Issues обновлен 7 лет назад 3

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!

Ответ
Ashley M 7 лет назад

All Clear!

It is now okay to submit claims to BCBS of MN (ID SB720). Please do not resubmit rejected claims; BCBS will be reprocessing them and you will receive an updated report in the Electronic Module.
Per the clearinghouse:
Erroneous rejections were sent by BCBSMN from 9/11 8am & 9/12 1pm for claims submitted. BCBSMN will reprocess impacted claims, please do not resubmit. Providers will need to disregard the original 277CA (batch report) & look for second 277CA (batch report) as a final response.

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