Just update I got from Availity is that they created a case with health plan(Blues) for assistance/resolution of problem with NOAs being rejected for demonstration project issue.

 

FYI-I had problem earlier in year. Then all the NOAs were pushed thru and I thought issue resolved. But now issue again.

 

Karen

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Mary Hanson
Sent: Wednesday, May 4, 2022 10:02 AM
To: billers@list.mnhomecare.org
Subject: EXTERNALRE: EXTERNALRE: EXTERNALRE: EXTERNALRE: Blues NOA

 

CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.

 

Here is the field for Demonstration Project ID field in Ability for anyone that is looking for it.  You need to click into the second screen under the view additional claims data (double arrow under blue banner).

 

Hope this helps.

 

Additional DataClose

 Claim Information

Covered Days

Accepts Assignment

Pregnancy Indicator

Non-Covered Days

Signature On File

EOB Indicator

Coinsurance Days

Special Program

Estimated Due

Lifetime Reserve Days

Delay Code

Credit Card Max Amount

Patient Paid

Patient Responsibility

 

 

 Claim ID

Service Authorization No

Claim No

Document ID

Repriced No

Adjusted Repriced No

PRO No

Investigation Device No

Demo Project ID

 Related Causes

Auto Accident

State

Abuse

 

Other Party Responsible

 

Employment

 

Other Accident

 

 UB-04 Fields

Box 7

Box 30

Box 37A

Box 37B

Box 68

Box 73

Box 75

Box 81CC

a

b

c

d

Values present in the BOX 81CC fields override any system generated default values when printed.

 

 

 

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Patti Fladwood
Sent: Tuesday, May 3, 2022 3:54 PM
To: billers@list.mnhomecare.org
Subject: RE: EXTERNALRE: EXTERNALRE: EXTERNALRE: Blues NOA

 

We use Waystar as our clearinghouse.  We have to correct and add code there:

 

 

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Karen Gorecki
Sent: Tuesday, May 3, 2022 3:32 PM
To: billers@list.mnhomecare.org
Subject: RE: EXTERNALRE: EXTERNALRE: EXTERNALRE: Blues NOA

 

Where is the demonstration code area?

 

 

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Patti Fladwood
Sent: Tuesday, May 3, 2022 3:15 PM
To: billers@list.mnhomecare.org
Subject: EXTERNALRE: EXTERNALRE: EXTERNALRE: Blues NOA

 

CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.

 

I’ve been putting 2 in the demonstration code area and they have been paying.  Can’t remember if it was BCBS that gave me this information or who it was.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Karen Gorecki
Sent: Tuesday, May 3, 2022 2:22 PM
To: billers@list.mnhomecare.org
Subject: RE: EXTERNALRE: EXTERNALRE: Blues NOA

 

Mary-

 

I haven’t  heard anything back from Ability ticket.

 

Not sure what to do with it……

 

Karen

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Mary Hanson
Sent: Tuesday, May 3, 2022 2:20 PM
To: billers@list.mnhomecare.org
Subject: EXTERNALRE: EXTERNALRE: Blues NOA

 

CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.

 

Hello Karen,

 

Did you ever get any help on this?

 

I am still getting this demonstration project error rejection from the payer.  Ability has not provided a solution since it is being rejected at the payer level.

 

Any help is appreciated.

 

Mary

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Karen Gorecki
Sent: Wednesday, April 27, 2022 12:03 PM
To: billers@list.mnhomecare.org
Subject: RE: EXTERNALRE: Blues NOA

 

I also use Ability. I have sent ticket into them today and will let you know what I find out.

 

 

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Mary Hanson
Sent: Tuesday, April 26, 2022 4:00 PM
To: billers@list.mnhomecare.org
Subject: EXTERNALRE: Blues NOA

 

CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.

 

I too just received projection rejection error.  Any help on how to get that fixed?

 

We use Ability to submit our claims.

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Karen Gorecki
Sent: Tuesday, April 26, 2022 3:48 PM
To: Billers@list.mnhomecare.org
Subject: Blues NOA

 

Hi-

 

Is anybody having problems with NOA for Blues skilled MSHO again?

 

Mine at beginning of year were held up for that demonstration project error. Then they were accepted.

 

Had one in March accepted first time with no problem.

 

Submitted one yesterday and now getting that same demonstration project error again.

 

Appreciate any feedback.

 

Thanks.

 

 

Karen Gorecki | Outreach Accounts Receivable Coordinator

 

 

Ph: 320.258.9350 | Fax: 320.259.3463 | karengorecki@gsc-mn.org

1115 4th Ave North, Sauk Rapids, MN 56379 | goodshepherdcampus.org

 

 

 

 

 

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