For consolidated providers MN MA (DHS) has ongoing problems with eligibility, which is causing some consolidated providers to be unable to check eligibility (except through IVR). The details from DHS are as follows:

Some MN–ITS transactions involving consolidated providers are experiencing issues, including: Eligibility Request (270), Authorization Request (278) and Service Agreement Request (278).
Consolidated providers who need to check eligibility or check the status of an authorization request or service agreement may call the Provider Call Center at 651-431-2700 or 800-366-5411. 

We have confirmed with DHS that this does apply to batch eligibility which how eligibility is checked through Procentive. If you wish to monitor the progress of this, you can find it on the MHCP Provider News and Updates page.

Once we know this has been fully resolved we will update this post.

Have a fantastic weekend!

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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!

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

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?

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

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?

Is anyone out there experiencing this?

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. 

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!