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Explanation of Benefits/ COB

dez hace 7 años en Billing/Electronic Modules actualizado hace 7 años 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.

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Documenting admin staff contact w/ clients

Kim Ross hace 7 años en User Group Help actualizado por sarah hace 7 años 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.

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Solucionado

KNOWN ISSUE: MN MA Eligibility Scheduled Downtime

Ashley M hace 7 años en Known Issues actualizado hace 7 años 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!

Respuesta
Ashley M hace 7 años

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.

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Solucionado

KNOWN ISSUE: Claims Sent Through Availity Have Rejection

Ashley M hace 7 años en Known Issues actualizado hace 7 años 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!

Respuesta
Ashley M hace 7 años

This is now resolved.

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Batch Signing: Corresponding tickets

Erin Anderson hace 7 años en Clinical Charting Module actualizado hace 7 años 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?

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New Credentialed Providers

Rochelle Garcia hace 7 años en Staff Module actualizado por Richard Sethre, Psy D , L P. hace 7 años 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

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Solucionado

KNOWN ISSUE: UBH/Medica Claims Sent With Medicare as a Payer

Ashley M hace 7 años en Known Issues actualizado hace 7 años 1

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!

Respuesta
Ashley M hace 7 años

This is now resolved. Please resend all affected claims.

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Locations

Jill hace 7 años en Billing/Electronic Modules 0

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

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Respuestas

client address in create invoice

dglende hace 7 años en Billing/Electronic Modules actualizado por Pat Stream hace 7 años 5

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?

Respuesta
Pat Stream hace 7 años

The error that occurred this morning has been resolved. Thank you for your ongoing contribution to this group!

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Diagnostic Assessment sessions

mboron hace 7 años en Billing/Electronic Modules actualizado por Richard Sethre, Psy D , L P. hace 7 años 1

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