April, You can also call 1-844-839-6108 for the OPTUM VACCN help desk. They seemed to get it done quicker.
Kelly Rader
Billing Specialist
Hennepin Home Health Care
763-425-5959 ex 44
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Hanson,April
Sent: Wednesday, December 15, 2021 11:12 AM
To: billers@list.mnhomecare.org
Subject: Re: Optum Appeal
Thank you all! I will try a new chat and see if this person can help me. Fingers crossed!
April Hanson
Patient Accounts
Perham Living
Ph: 218.347.1894
F: 218.347.1885
Dedicated to health and wellness throughout life.
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Kelly Rader <Kelly.Rader@hennhomecare.com>
Sent: Wednesday, December 15, 2021 11:08 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: Optum Appeal
I spent the morning talking to the help desk. I was advised by one representative (who knew what they are doing) to ask to have the claim ADJUSTED not reprocessed. When it gets reprocessed it will deny as a duplicate. You can see in
Optum vaccn that the claim # now has a 01 at the end. When they do it this way they can see that it will pay and give you an expected payment amount. When I called other reps I had to tell them to do it this way when they were balking trying to help me.
Kelly Rader
Billing Specialist
Hennepin Home Health Care
763-425-5959 ex 44
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Marnie Pogreba
Sent: Wednesday, December 15, 2021 10:56 AM
To: billers@list.mnhomecare.org
Subject: RE: Optum Appeal
It is crazy, it all depends on who you chat with or talk to. I did a chat a while back and was told it was a system issue and to allow 30 days as Optum would do a query to see what claims did not pay and then reprocess. After waiting
more than 30 days, I decided to call Optum last week. I was fortunate enough to get a very nice person on the line who had all of my claims reprocessed, she even told me what the payment would be for each claim. Unfortunately, I think we need to keep calling
or chatting until we get someone who knows what they are doing. What a mess over there.
Marnie
Lakewood Health System Home Care & Hospice
218 894 8324
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Hanson,April
Sent: Wednesday, December 15, 2021 10:51 AM
To: billers@list.mnhomecare.org
Subject: Optum Appeal
|
**External Sender**
|
Good morning,
I am wondering if anyone has had luck getting their claims that are denying by Optum for the following reason resolved.
One representative the last time told me it was a system issue and would be resolved allow 30 days to reprocess. Chatted with another rep today who told me it is not a system issue and I would
need to appeal. Is everyone getting this same response? Has anyone had any luck appealing. Thanks!
April Hanson
Patient Accounts
Perham Living
Ph: 218.347.1894
F: 218.347.1885
Dedicated to health and wellness throughout life.
-----------------------------------------------------------------------
Confidentiality Notice: This e-mail message, including any attachments,
is for the sole use of the intended recipient(s) and may contain
privileged and confidential information. Any unauthorized review, use,
disclosure or distribution is prohibited. If you are not the intended
recipient, please contact the sender by reply e-mail and destroy
all copies of the original message.
This message (including any attachments) may contain confidential information. The information is intended only for the use of the individual or entity to which it is addressed. If you are not the addressee or the employee or agent responsible to deliver this
e-mail to its intended recipient, you are hereby notified that any review, use, dissemination, distribution, disclosure, copying or taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this communication
in error, please notify us immediately by return email and destroy all copies of this communication, including all attachments.
-----------------------------------------------------------------------
Confidentiality Notice: This e-mail message, including any attachments,
is for the sole use of the intended recipient(s) and may contain
privileged and confidential information. Any unauthorized review, use,
disclosure or distribution is prohibited. If you are not the intended
recipient, please contact the sender by reply e-mail and destroy
all copies of the original message.