Availity said the problem was "policy issue on the payer end"

Do you know what your clearinghouse changed or would you be able to find out?  I feel like I keep asking for help and getting the run around from all directions.

Crisa Mortenson

Billing Officer

 Phone: 218-843-3852

Fax : 218-843-2311

Email: crisa.mortenson@khmc.net

 1010 S Birch Ave. P.O. Box 700

Hallock, MN 56728



From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Alicia Schmidt <Alicia.Schmidt@knutenelson.org>
Sent: Thursday, September 16, 2021 2:41 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: optum va final claim rejecting
 

We received that same error through our clearinghouse (Waystar) for a few days.  They had to change something on their side and then they were able to go through just fine.  So, possibly check with Availity to see if something has to change on their side?

 

Alicia Schmidt

Accounts Receivable Lead

2715 Hwy 29 S Ste 103, Alexandria, MN, 56308

Office: 320-759-3340 | Fax: 320-759-1275

knutenelson.org | Nonprofit Senior Lifestyle Provider

 

 

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From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Mortenson,Crisa
Sent: Thursday, September 16, 2021 2:24 PM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: optum va final claim rejecting

 

External Email


 

Can anyone help me with this error?  I'm trying to submit a final claim on an existing patient to optum VA and it's rejecting on the clearinghouse (availity) with the following error:  O NPV084 LINE ITEM CHARGE AMOUNT MUST BE GREATER THAN ZERO UNLESS REVENUE CODE IS 22

 

I've reached out to my support for nightingale notes, but she isn't sure either.  She's questioning if they changed their billing requirements to have a .01 on the 0023 revenue code for the final as well as the RAP?  I've tried reaching out to Optum VA and I haven't gotten any straight answers from them either.

 

 

Crisa Mortenson

Billing Officer

 Phone: 218-843-3852

Fax : 218-843-2311

Email: crisa.mortenson@khmc.net

 1010 S Birch Ave. P.O. Box 700

Hallock, MN 56728

 

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