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

Claims being sent to UBH/Medica (payer ID 87726) with Medicare as a secondary/tertiary payer have the status of "Error" in the Electronic Module. The batch report reads:

Insurance Type Code may be used only for Medicare Payer. Element SBR05 is used. It may be used only when payer is Medicare. Segment SBR is defined in the guideline at position 2900

This message does not apply to these claims and is being sent back from the clearinghouse in error. We are working to resolve this as quickly as possible.

Please watch for updates to this post; these claims will need to be resent once the issue is resolved.

Thank you!

Good morning!

Therapists with our agency will often do skills based services in the community.  This can occur in a variety of settings which may include restaurants, schools, library, etc.  What is the appropriate place of service to bill in this instance?

Thanks & have a great day!

Jill

Every client I try to send claims for today I get the error, The client address must not be empty or have spaces before or after. However there is nothing wrong, anyone else having this?

Does anyone know if Commercial insurance plans only allow a certain number of Diagnostic Assessments to be billed to them in a year? 

Hello,

We are a residential rehab facility. We have mental health and a nurse practitioner onsite. How do we go about billing their services? We have currently tried with our NPI as the billing provider and were rejected due to a "Rehab facility billing for a professional bill." 

Any advice is greatly appreciated ! 

Thanks! 

What do you use within your company that is HIPAA compliant to collaborate and share documents? Options include internal servers verses cloud based computing. Obviously, these would be used in addition to Procentive. :)

UCare had an issue with the following rejection message "misfiring" on multiple claims:

The Claim/Encounter is missing information specified in the Status details and has been rejected. Status: NDC number. 

This has been corrected by the payer however, you do need to resend the affected claims.

Please note: This only applies if you received the above rejection message in the Electronic Module on claims sent to UCare.

If you are unsure whether or not this applies to you, please send a ticket to the Support Desk for further assistance.

UPDATE: We have been made aware that this no longer applies only to CPT code 90834. Any code with the referenced rejection message should be resent. 

I need to bill clinical services and lab services to each of the payers. The only way I seem able to do this is to create two separate payer profiles. IE BCBS Clinical and BCBS Lab. Does anyone have any experience in doing this or know of a better way? 

Did you have clients fill out a form with all the necessary information or do you take it verbally?

Also, has anyone set up any re-occurring accounts?