Kevin Holmes (Director of Service and Support) 3 years ago in Known Issues • updated 3 years ago • 2
We've been informed that Metropolitan Health Plan / Hennepin Health is in the process of making changes that may affect your claims (see attached info).
The most specific change that MHP has been implemented is that client demographic information must match exactly with MHP, including first name, last name, middle name or initial, and date of birth.
We're seeing several rejections on claims due to the middle name or initial not matching what MHP has on file.
If MHP has only the initial on file in their system, then that is what is needed on the claim.
The rejection in the Procentive Electronic Module reads: MEMBER MIDDLE NAME DOES NOT
Please go to the Electronic module and review all batch reports for MHP (even if they say "Received") starting on 8/15/16, to be sure that your claims have gone through successfully.
If you have further questions please submit a ticket to the Procentive Support Desk.
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