I do have one claim that has all January dates that is paying for Blue Plus MSHO. The NOA that was submitted is still showing in suspense, but the claim is paying correctly.
I do not have any other claims to compare to if this one is just a fluke. I had submitted the NOA with a 1 for the project identifier with our clearinghouse.
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 Dougherty, Sarah J
Sent: Tuesday, February 8, 2022 3:27 PM
To: billers@list.mnhomecare.org
Subject: RE: Blue plus MSHO NOA rejections
|
External Email |
Hello,
That is a good idea, but we should not have to be adding 02. It is not a requirement. 02 was found online as part of a Medicare FFS project long ago.
We have a ticket in with BCBS Amerigroup. We believe it is their issue.
In the meantime, 02 is getting the NOAs into the Amerigroup system but we have not received a remit yet.
Sarah Dougherty
Insurance Specialist-Home Care Reimbursement • Revenue Cycle Management • Allina Health
Phone: 612-262-0991 • Fax: 612-262-6755 •
Sarah.Dougherty@allina.com
Mail Route 10860 • 2925 Chicago Ave. • Minneapolis, MN 55407-1321
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Vig,Terisa
Sent: Tuesday, February 8, 2022 2:10 PM
To: billers@list.mnhomecare.org
Subject: [External Mail] Re: Blue plus MSHO NOA rejections
CAUTION: This email originated from outside of the Allina Health network. Do not click links or open attachments unless you recognize the sender and know the content is safe.
You should make Change do a bridge so you don't have to do that all the time for that payer if it's something you have to have on every claim.
Terisa Vig
Patient Account Representative
RiverView Health Home Care
tvig@riverviewhealth.org
218-281-9240
From:
billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Dougherty, Sarah J <Sarah.Dougherty@allina.com>
Sent: Tuesday, February 8, 2022 2:03 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: Blue plus MSHO NOA rejections
Hi
Sorry, I should have added 02 Project ID is added on our electronic submission claim after it is rejected by our clearinghouse, Change Healthcare.
Sarah Dougherty
Insurance Specialist-Home Care Reimbursement • Revenue Cycle Management • Allina Health
Phone: 612-262-0991 • Fax: 612-262-6755 •
Sarah.Dougherty@allina.com
Mail Route 10860 • 2925 Chicago Ave. • Minneapolis, MN 55407-1321
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Marnie Pogreba
Sent: Tuesday, February 8, 2022 12:23 PM
To: billers@list.mnhomecare.org
Subject: [External Mail] RE: Blue plus MSHO NOA rejections
CAUTION: This email originated from outside of the Allina Health network. Do not click links or open attachments unless you recognize the sender and know the content is safe.
Unfortunately, we do not see that same field in our billing system. I intend to share what you have, when I follow up on my ticket, thank you for sharing.
Marnie
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Dougherty, Sarah J
Sent: Tuesday, February 08, 2022 12:19 PM
To: billers@list.mnhomecare.org
Subject: RE: Blue plus MSHO NOA rejections
|
**External Sender**
|
Hello,
We are able to get the NOA to BCBS Amerigroup by adding an 02 in the DEMO PROJECT ID field
We have not received any remits yet but the website shows the NOA as
-Pending/In Process-The claim or encounter is in the adjudication system.
-Accepted for processing
See the 1/31/2022 email response from Gina
There is more info on how we came up with
Project ID 02
The error and fix does not make sense.
We submitted a ticket also, but have not had a response.
Thank you
Sarah Dougherty
Insurance Specialist-Home Care Reimbursement • Revenue Cycle Management • Allina Health
Phone: 612-262-0991 • Fax: 612-262-6755 •
Sarah.Dougherty@allina.com
Mail Route 10860 • 2925 Chicago Ave. • Minneapolis, MN 55407-1321
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Salin, Tracy M
Sent: Tuesday, February 8, 2022 11:45 AM
To: billers@list.mnhomecare.org
Subject: [External Mail] RE: Blue plus MSHO NOA rejections
CAUTION: This email originated from outside of the Allina Health network. Do not click links or open attachments unless you recognize the sender and know the content is safe.
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
|
|
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
Dedicated to health and wellness throughout life.
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
Email: crisa.mortenson@khmc.net
1010 S Birch Ave. P.O. Box 700
Hallock, MN 56728
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