Hello,

Since the new year all of our claims have come back denied for contractual obligation (code 45). Even on clients that we did not have trouble with previously, we are now having issues with claims coming back this way. Mostly seeing this for code H2014 which is not covered, but we are not getting a denial that we can send to secondary.

I am wondering if there was an update or something that we missed and we are sending our claims to the wrong place? Has anyone heard anything?

If it matters, we preform outpatient mental health services in Minnesota.

We have had a nightmare of a time dealing with United Healthcare and the Optum side. Being one is behavioral health and the other is the actual insurance plan, you would think they communicate with each other.

Thanks in advance!

Good Afternoon everyone! I've been getting the run around, so I'm hoping someone has some advice.

I bill for a mental health facility in Minnesota. While looking online at our MN DHS website, I found a few different documents staying there are no copays for mental health visits. 

I contacted the state, and the rep I talked with said that we are supposed to write off copays and deductibles for patients with MA or a PMAP. Spend downs not included. 

This has put a lot of discussion into our office lately. 

Has anyone heard of this? These patients' claims are being sent and coming back with a Patient Responsiblility, so I would assume that if they had no copay, they wouldn't use a PR reasoning code.

Any info is appreciated! 

Thank you!

Loving the new option of looking at Report Mode in new window while payment entry mode is still up !!!!

Good morning,

We are trying to run eligibility through the Eligibility Module and it's very slow in responses. We used to be able to just refresh after so long and get responses, but now we just have to start all over. Is anyone else having this issue? We've cleared our history, cache and I've restarted my computer. When we do get a response, it says " ERROR java.net.SocketTimeoutException: Read timed out"

Anyone else with this same issue?

Hello,

I was just curious how other companies that work with Procentive find the billing information they need to fill out DAANES? Right now we are looking at the units used from an authorization to estimate what was billed. Is there a more accurate way of doing this without adding a lot of time?

Also, with filling out the service delivery tab in DAANES how are other companies finding the most accurate information for these questions?

Is anyone else experiencing issues with Procentive kicking you out or not saving? 

This was happening occasionally last week but today we have encountered multiple logouts just during the morning. This has been very disruptive to both the clinicians trying to do paperwork and to the admin staff trying to take care of all the behind the scenes work. It doesn't seem to matter which module we're in or what browser is in use.

 Is anyone else having similar issues and is there any news of a fix?

It would be helpful if Procentive had a feature to make rate changes apply automatically to all fee schedules on a specified date/time. 

e.g. We are increasing several of our rates by a % on 1/1/18 so it would be nice to schedule the change and have it go into effect for DOS on/after 1/1. As it works right now, we will have to be extra careful checking each DOS to make sure it was billed out with the appropriate rate for 2017 or 2018.

I have staff at 4 different locations (with different internet connections) telling me that Procentive is slow in a variety of modules.  The best example I have seen personally is that the billing module (Add) function opens slow, and when users pick a date from the calendar that opens very slow as well.  Anyone else seeing this?  We tried clearing cache, etc.

We have a lot of problems with blue plus and pos 99. I noticed when you open up the change time window there is the place of service (ecmh) and one of the choices is other describe: . Does anyone know where you would go to describe and it be sent with the claim?