Do not know what this field is actually supposed to contain when entering a Medicare or Medicare Advantage plan into a patient's payer - not finding anything at CMS either.  Anybody have an idea???

I was told by a Medical Assistance rep that we need to have a claim status of 16 when billing a Medicare Advantage plan to MA...I am not sure how to make this happen...ideas or suggestions???

We are consistently getting denials from MA when billed as secondary saying "missing other plan informaition" - specifically when primary is Medicare or a Medicare advantage plan.  The COB is correct and have tried adding the svd segment manually, nothing works.  Any ideas?

Hi Everyone,

I am wondering how you all are handling this transition of new Optum payers that have been added so that we can send the U5 modifier with the DQ qualifier for our clinical trainees. Specifically, if you have a clinical trainee and a licensed provider seeing the same client with one of the payers that procentive split so clinical trainee and licensed people are billing different payers in procentive.

Any feedback on this change would be appreciated! 

Attention Procentive Customers:

We would like to inform you that we will be conducting maintenance on our systems Tuesday, September 9th at 10:00 PM CDT/11:00 PM EDT. Users may 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 through our Ensora Health Support Hub.