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BluePlus Payments

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

Mardi 3 years ago in Billing/Electronic Modules updated by Rochelle Garcia 3 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 3 years ago in Billing/Electronic Modules updated by Emily W 3 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 3 years ago in Billing/Electronic Modules updated by sadie twite 3 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 3 years ago in Reporting Module updated by Jana 3 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 3 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!

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covid testing

Has anyone been able to bill for covid testing in a CLIA Waivered lab? We have clients in our Residential and IOP SUD program that we could do testing in our separate Lab and have nurses who could administer. Has anyone had any luck or found it not possible?

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MN-ITS Era's

Valerie McNamara 3 years ago in Payments/ERA Modules updated by Anissa Jones 3 years ago 1

Is anyone else seeing delays? We haven't received our payment notifications as well?

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Claims not received

Rochelle Garcia 3 years ago in Billing/Electronic Modules updated by Sue Nathe 3 years ago 5

I sent out claims electronically on Friday and when I went to the Electronic Module this morning claims are still in "sent" status versus received.  Im not sure if there was any updates that were made in Procentive that these electronic claims have not been received yet. I also had no ERAs this morning which is odd for a Monday morning.  Is this a clearinghouse issue?

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Substance-Treatment plan and treatment plan review

michelew 3 years ago in Clinical Charting Module updated by scarroll 3 years ago 1

We are a outpatient substance use provider.  We are wondering if there are any other providers that have the individual treatment plan and the treatment plan as one document in Procentive.