I would ask them what does this mean? Are you supposed to do something? Not a very helpful message

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Hanson,April
Sent: Tuesday, February 8, 2022 11:32 AM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: Re: Blue plus MSHO NOA rejections

 


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I now have both our software system involved as well as the clearinghouse. I got the following message back. It truly sounds like a foreign language to me. If anyone has any input let me know 🙂

 REF*P4 segment isn't on them for the Demonstration Project 
Identifier.  Because of that, when the claims go to the payer, the 
payer's system is immediately rejecting the claims for missing info.

 

April Hanson

Patient Accounts

Perham Living

Ph: 218.347.1894

F: 218.347.1885

April.Hanson@perhamhealth.org

Dedicated to health and wellness throughout life.

 

Description: PL color home care

 


From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Mortenson,Crisa <Crisa.Mortenson@kmhc.net>
Sent: Tuesday, February 8, 2022 9:52 AM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: [EXTERNAL] Blue plus MSHO NOA rejections

 

Has anyone gotten any clarification on the NOA rejections for the blue plus MSHO OR gotten one accepted and 'paid'?  I've put in a support ticket, but this was their response:

·       

·       
I received the following resolution back from the payer:
"The Provider has to send a correct demonstration code when submitting the claim.
Clm| The Demonstration Project Identifier (Loop 2300, REF) is required where a demonstration project is being billed or reported."

Please add a correct demonstration code to the claim and resubmit this claim.

Thank you!

 

Does anyone know what this is or means?  Clear as mud.

 

Crisa Mortenson

Billing Officer

 Phone: 218-843-3852

Fax : 218-843-2311

Emailcrisa.mortenson@khmc.net

 1010 S Birch Ave. P.O. Box 700

Hallock, MN 56728

 

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