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Blue Plus Eras

NikkiP 2 years ago in Payments/ERA Modules updated by Lily 2 years ago 7

Is anyone waiting on Blue Plus ERAs coming through Procentive? We have not recevied one since 10/11/22

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Surcharge for Credit Card Payments

ejallo 2 years ago in Billing/Electronic Modules 0

Does anyone add a surcharge for credit card payments?  I'm wondering how you set that up in Procentive. 

Thanks

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MA Payments denying POS 10

Rochelle Garcia 2 years ago in Payments/ERA Modules updated 2 years ago 7

Has anyone heard of any updates on MA denying claims with the POS 10?  Its been weeks now and we have not received any payment for claims with this place of service.  I checked the Provider Update website but its still the same message from 8/22/2022.

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New ICD 10 code changes

sfoster 2 years ago in ICD-10/DSM5 updated 2 years ago 16

Hello, I just had a couple of claims reject for what appears to be code updates or subdivisions of the code;

F43.8.

  • F43.8, "Other reactions to severe stress," is being subdivided into two new codes — one to capture prolonged grief disorder (F43.81) and another to capture the rest of what was otherwise reported under F43.8 (F43.89, “Other reactions to severe stress”).

Has anyone else run into this one?

Thanks, Sara

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BluePlus Payments

sarah 2 years ago in Payments/ERA Modules updated 2 years ago 3
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BCBS PMAP DATE RANGE ISSUE

Mardi 2 years ago in Billing/Electronic Modules updated by Rochelle Garcia 2 years ago 2

Help! is anyone else experiencing issues with claims going to BCBS pmap and the date range is only showing  "1" unit?  I opened a ticket on 8/31 and I still have no resolution from Procentive.  

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Electronic Statements - Anyone Using This?

ejallo 2 years ago in Billing/Electronic Modules updated by Emily W 2 years ago 5

Is anyone using the electronic feature for statements?  I'm wondering how it's working and if there have been any glitches before I switch over. 

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value code billing for bcbs

AmyB 2 years ago in Billing/Electronic Modules updated by sadie twite 2 years ago 3

Has any SUD providers figured out how to bill with the Value code for Blue plus claims since they want us to stop using the HCPC code/combination effective 5.1.22. They say they do not want to see any HCPC for the TX line they want a value code to be billed. Only 1 value code can be billed on a claim and I am billing with that for the room and board part of the claim. I have asked my Provider contact person with no help.

Also since i turned on the Value code option on my payers BCBS pmap and UCARE the claims deny for use of said Value code. Procentive wont let it out the door. What a mess....

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Report to display Client Dx and Expiration date in program

Jonathan Beulke 2 years ago in Reporting Module updated by Jana 2 years ago 1

I'm looking for a report that can bring up all clients in a specific program that also shows the clients' Dx codes and the Dx code expiration date. Does anyone know if a report can do this?

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SUD Attending Provider

Jenna 2 years ago in Billing/Electronic Modules 0

Hello,

Currently procentive seems to "force" an attending provider to be noted on our UB04 forms so we chose our Presidents info a while back for this. However, technically under SUD all the LADC's are housed our our facility itself and we are billing a day rate bill out. 

I am wondering how others were able to by pass this requirement on procentive in order to bill  ? 


Thanks!