sadie twite 1 week ago in Payments/ERA Modules updated by Rochelle Garcia 1 week ago 1

Has anyone been successful in getting paid from UHC-PMAP for residential treatment and SUD outpatient services? We are getting conflicting information on how they want us to bill residential treatment so I would love to hear what form and what codes you are billing especially if you are a 1115 waiver provider. Thank you in advance!

We don't bill for residential tx but after not being paid for a while, I finally called UHC PMAP to find out they actually were paying claims.  Funds were being deposited electronically but we were not receiving the ERAs in Procentive.  I had to log into OptumPay to get the remit for the payments.  I did contact Procentive to find out what was the problem and we just received our first ERA last week.  The payer is UHC of Illinois.