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Fixed

KNOWN ISSUE: Availity Claims and ERAs

Ashley Morschen (Project Coordinator) 2 years ago in Known Issues updated by Amanda Kaufmann (Customer Success Manager) 2 years ago 5

We have been made aware that all claims submitted to the Availity Clearinghouse from Monday, July 9th through the afternoon of Tuesday, July 10th are still in "Sent" status and do not have a 999 file.


Please resend all claims during this date range that are still in "Sent" status.


Our Product Development Team is still actively working to ensure any ERAs from this time frame are delivered. We will update this post once the issue is resolved. 


Update: Claims sent to MN DHS were also affected. Please resend any claims that still have a status of "No Repsonse" and do not have a 999 file. 

Answer

Answer

There have been new updates to the missing ERAs that were discovered for the week of 7/9-7/13. 


We are working with our partners at the clearing houses to have all ERAs resent/restored for the week. At this time please refrain from sending in missing ERA tickets, until after we post that the restoration has occurred. 


 Thank you! 

Is there also an issue sending claims to the MN DHS processor? We have been getting "No Response" as the status for our MA and Rule 25 claims and resubmitting them has not resolved the issue.

Great question Katie!


I had our Product Development Team look into this for you. They've identified and resolved an issue with MN DHS - after testing this should be back to normal!


Any claims that say "No Response" and do not have a 999 file, please resend. 

Fixed

This issue is now resolved. 


If you identify any missing ERAs please submit a Procentive support ticket that includes: 

  1. Payer
  2. Check/EFT Number 
  3. Check/EFT Date 
  4. Check/EFT Amount 

With this information we are able to notify Availity and have the ERA resent.


You will also need to resend claims that still have a "Sent" or "No Repsonse" status in the Electronic Module and are without a 999 file. 

Answer

There have been new updates to the missing ERAs that were discovered for the week of 7/9-7/13. 


We are working with our partners at the clearing houses to have all ERAs resent/restored for the week. At this time please refrain from sending in missing ERA tickets, until after we post that the restoration has occurred. 


 Thank you!