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Rejections- Private BCBS

jparker 6 lat temu w Billing/Electronic Modules • zaktualizowano 6 lat temu • 2

We are new to Procentive and I have a couple issues I could use help with. The first one is I am having trouble with rejections from Hennepin Health ,first on was about service codes fixed that resubmitted now the rejection is "service line days" looked at the X-12 summery and claims looked good! Anyone have any insight? Next pertains to BCBS Private claim we as a company do 96% consolidated and Pmaps, when I submitted BCBS paid one day on both claims called them and they said for Private I should not send HPCS  or modifers on a Private claim. does not seem correct to me. Would appreciate any help

Jen 6 lat temu

We are having this issue with BCBS Commercial plans also.  All of the sudden they do not want HCPS and Modifiers on our commercial plans.  I have sent a couple a couple claims as they told us and hoping the will process correctly.

For Hennepin Health double check the units and dates on the claims.  I had this happen once and the units were over the date span being billed.  

jparker 6 lat temu

Thanks Jen, I will try it

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