0
Fixed

KNOWN ISSUE: Claims sent to MN MA (DHS) have a status of "No Response"

Ashley M 7 years ago in Known Issues updated 7 years ago 3

All claims being sent to MN MA (DHS) are coming back unacknowledged with a status of "No Response" in the Electronic Module. We are working to get in touch with DHS for more information and to find a resolution.


Please watch this post for updates. Thank you!

Answer
Ashley M 7 years ago

Per DHS this is now resolved with the exception of 270 Eligibility Requests for some providers. 


For claims that have a status of "No Response" in the Electronic Module, please open the batch report:

  • If there is a file listed here the claim has been received by DHS.
    • Example: 999 file A6813856700_999_837P_20170101_A6813856700_837P_20170101_4239846.dat (no errors)
    • Any files that contain errors will need to be addressed as normal.
  • If there is not a file listed here, please resubmit the claim.

For 270 Eligibility Request: If you do not receive a 271 response, resubmit the 270 transaction.


Thank you!

0
Fixed

KNOWN ISSUE: MN MA (DHS) Scheduled Downtime

Ashley M 7 years ago in Known Issues updated 7 years ago 1

We have received the following notice from DHS:

All functions of MN–ITS will be unavailable from Saturday, August 5 at 6 a.m. until Monday, August 7 at 6 a.m.  while we do system maintenance. During this time all of MN–ITS will be unavailable, including:
•  All Direct Data Entry (DDE) transactions
 All applications and systems that require users to log in to MN–ITS
 All eligibility verification transactions, including phone verification
 The MPSMISC file will not be available for uploads or downloads Batch transaction processing – All batch transactions will be unavailable, including secure FTP servers. You will not be able to submit any files during this time. (Pub. 7/22/17)


What does this mean for you?

Eligibility through Procentive will be unavailable during this time. This may also cause claims sent to MN MA (DHS) to fail.  All DHS systems (e.g. MN-ITS) will also be unavailable during this time.

We ask that you please wait to send claims to MN MA until their system is restored on Monday, August 7 at 6 AM


Please contact the Procentive Support Desk with any questions. Thank you!

Answer
Ashley M 7 years ago

This is now resolved.

0

Medica and MHCP no longer accepting GY modifier

Tanya Milner 7 years ago in Billing/Electronic Modules updated by crystalp 7 years ago 1

Medica and MHCP are no longer accepting the GY modifier, they state that they have to have the primary EOB, but we can't send claims to Medicare if the provider is not in network, meaning we can't send the EOB. Ideas, thoughts?

0

Looking for information on billing 99354/99355 amd 90839/90840

Tina B 7 years ago in User Group Help updated by sfoster 6 years ago 9

Both 99355 and 90840 are for each additional 30 minutes. For a 2 hour crisis you would bill

90839-90840-90840. How do you bill the same code on the same day? Or do you set the code up as 30 min = 1 unit?

0

Explanation of Benefits/ COB

dez 7 years ago in Billing/Electronic Modules updated 7 years ago 2

Is there a way to get COB information to flow over for manually entered claims instead of going into the COB tab and entering them yourself. This is the first billing system I have used that required it to be manually entered like this even with hand entering the payment.

0

Documenting admin staff contact w/ clients

Kim Ross 7 years ago in User Group Help updated by sarah 7 years ago 7

How do you effectively use Procentive to document contact between clients and administrative staff staff? Or, contact between administrative staff and a client's payer? I find that clients give me and other administrative staff substantive information about a variety of things - clinical, administrative, financial, etc!  A goal is to keep documentation of client interaction attached to the client record and available to all staff associated with the client.

0
Fixed

KNOWN ISSUE: MN MA Eligibility Scheduled Downtime

Ashley M 7 years ago in Known Issues updated 7 years ago 1

We have received the following notice from DHS: 

All functions of MN–ITS will be unavailable from Saturday, July 22 at 6 a.m. until Monday, July 24 at 6 a.m. while we do system maintenance. This includes 270/271 Real Time X12.

What does this mean for you?

Eligibility through Procentive will be unavailable during this time. This may also cause claims sent to MN MA (DHS) to fail.

We ask that you please wait to send claims to MN MA until their system is restored on Monday, July 24 at 6 AM. 


Please contact the Procentive Support Desk with any questions. Thank you!

Answer
Ashley M 7 years ago

DHS has cancelled the scheduled downtime.

From DHS:

The Scheduled Maintenance downtime for this weekend has been CANCELED.   All applications noted will be up and running the normal weekend schedule.

We apologize for the confusion! Have a great weekend.

0
Fixed

KNOWN ISSUE: Claims Sent Through Availity Have Rejection

Ashley M 7 years ago in Known Issues updated 7 years ago 1

For all claims sent yesterday morning (7/19) you may see this rejection message in the Electronic Module:

The Validator encountered an internal error :  com.edifecs.xengine.XEException:  com.edifecs.common.ecl.ECLException:  DB /opt/Edifecs/Common/UserECLDB/jECL/ECLRegistry is not ECL registry.. Invalid data: 030240928 

Availity informed us that their system was encountering errors which caused claims to reject with this message.


If you have not done so already, please resend any claims with this message.


Thank you!

Answer
Ashley M 7 years ago

This is now resolved.

0

Batch Signing: Corresponding tickets

Erin Anderson 7 years ago in Clinical Charting Module updated 7 years ago 4

I occasionally utilize batch signing for reviewing and locking large quantities of clinical progress notes.  However, I then have to go to the ticketing module and mark each ticket "Complete" (a time consuming and tedious process).  Is there a way to complete or delete these tickets similar to batch signing?

0

New Credentialed Providers

Rochelle Garcia 7 years ago in Staff Module updated by Richard Sethre, Psy D , L P. 7 years ago 14

Hello,


Does anyone know what to do when you have new licensed provider that is not yet credentialed with all the insurance companies your agencies bill for? Do you still bill for those payers with the supervisor? And how do I set that up in Procentive so that staff can bill to some payers but not all? Thanks