Attention Procentive Customers:

We have been informed that Change Healthcare is experiencing a network interruption related to a cyber security issue. Change Healthcare’s security experts are working to address this matter. Our customers may experience delays in processing Claims, ERAs and Eligibility Requests.

Change Healthcare is widely used to connect other clearinghouses to payers, so this outage may impact claims processing services for all clearinghouses including Apex, Office Ally, Waystar/Zirmed, and Availity.

We are unclear as to how long this outage is expected to last, however, we will provide you with an update as more information becomes available.

You can also check the status page for updates on this outage.

We apologize for any inconvenience this may have caused. We will keep you updated as more information becomes available to us.

Attention Procentive Customers:

We would like to inform you that we will be conducting maintenance on our systems on February 28th at 10:00 PM CST/11:00 PM EST. Users will experience downtime for 30 minutes and potentially up to 2 hours.

This maintenance is necessary to ensure that our systems are running at their optimal performance and to provide you with the best possible experience. We apologize for any inconvenience this may cause and thank you for your understanding.

If you have any questions or concerns, please do not hesitate to contact our care team by submitting a case to Procentive through our new Therapy Brands Community Portal.

Is anyone having issues with the eligibility module not giving them a response back for clients that have MN MA or a PMAP?  We were having no issues getting responses back on Monday (2/12) but starting Tuesday (2/13) we run the check and we don't get an error nor a response.  Any other payer besides MN MA/PMAP's are working, without issues. 

Procentive said they haven't heard from any other provider, so they are of no help on this and they can't see anything on their side that would be causing this.  We didn't change a thing from Monday to Tuesday that would be causing this either, so we are at a complete loss here. 

Does anyone know of a report that shows you appointments that haven't been checked in?  I sent a ticket in about a month ago and haven't received a response so I thought I would check with the real experts!

Anyone having issues with the faxing module today? We seem to have all our out-going faxes stuck in the "queued" status.

We have a couple of payments that have a CS adjustment amount on top of the ERA's (where interest and FB are posted). Some of these amounts are from 2022 that they payer has not used. 

I am wondering what others have done in this case? 

All the claims I submitted yesterday, for all payers, were rejected for "Error Message: Element NM103 (Name Last or Organization Name) is missing. This Element's user option is 'Must Use'. Segment NM1 is defined in the guideline at position 2500."

Did this happen to anyone else?  Wondering if this is Procentive problem or if something changed somewhere in our setup.

Thanks!

Does anyone know a way to have a treatment plan expiration drop from the 3130 report when the review has been completed? Do we have to inactivate the initial treatment plan for it to show that the review has been completed? Or is there something else that we have to do in order to have the report only show reviews that have not been completed? 

Thank you, 

Samantha Pillow

Hello, 

I am getting a rejection from SCHA for a chemical health assessment (H001 0900) for just one client stating:

Category: Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the Status details and has been rejected. Status: Claim/submission format is invalid

Category: Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the Status details and has been rejected. Status: HCPCS

Category: Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the Status details and has been rejected. Status: Date(s) of service

I have verified eligibility for the date of service.

I opened a ticket with Procentive and they are saying that I need to send the claim as a Professional claim but we have ALWAYS billed as institutional without errors. I am SO confused and frustrated. Has any other CD billers ran into this issue with SCHA? Was there an update I missed regarding SCHA not accepting assessments as institutional claims? 

Thanks, 

Katie 

Does anyone bill telehealth services to Medicare? If so, what modifiers do you use and/or CPT codes and do you change the location to POS 2?

Thank you