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

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 :-/

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.

Has anyone else billed Tricare for Residential Treatment?  No matter what revenue code I use, Tricare is rejecting my electronic claims and I cannot get them to go through.

Hi all, Not sure I'm posting this in the correct forum. I'm looking for some information about coding for interactive complexity for clinicians doing play therapy. When adding this to 90837 or similar service line, do other clinicians typically record notes for both service lines or is a note for only one (or the other sufficient)? Our interactive complexity codes got denied and they were added at the same time as the main service code but notes were only included with the 90837 line so wondering if that was the problem. Any help with this would be welcome.