They didn't say anything about bill type as the rejection but I am using 343 now. No issues with other claims going to the VA, just the initial claim. Here is the rejection in our clearinghouse CLAIM HAS BEEN REJECTED AS UNPROCESSABLE. RETURNED TO ENTITY. PAYER DISCHARGE STATUS, HOUR OR ADMIT DATE INVALID. [X12 INFO: 2300-CL103, 2300-DTP03]and when I had the intermediary talk to the payer they said it was "Why did this happen? Per the intermediary the admit date not before the begin date" which doesn't make sense bc the dates are the same. 

Traci Olson

Regency Home HealthCare
651-488-4655 Office
651-488-4656 Fax

 

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From: Salin, Tracy M - Tracy.Salin at fairview.org (via billers list) <billers@list.mnhomecare.org>
Sent: Friday, May 17, 2024 11:48 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: RE: VA-rejections at payer level
 

What bill type are you using on claims?

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Traci Olson
Sent: Friday, May 17, 2024 11:45 AM
To: billers@list.mnhomecare.org
Subject: VA-rejections at payer level

 

Anyone getting VA FFS claims rejected at the payer level for Admission date can't match invoice date? I have been trying to figure this out forever. I even called one of the nurses at the Mpls VA to see what they say and see if they had changes. 

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Anyone getting VA FFS claims rejected at the payer level for Admission date can't match invoice date? I have been trying to figure this out forever. I even called one of the nurses at the Mpls VA to see what they say and see if they had changes. She laughed and was like what? That doesn't even make sense. I said I know. When we open someone that is considered a visit, she forwarded my question onto the nurse manager and I am waiting for a call back from her. Other weird thing is the VA is paying all the other claims after the initial SOC claim. I have talked to VA Optum customer service numerous times, they are no help bc the claim hasn't even gotten to them. I ask for a sup, noone calls me back, noone is available ever. I reached out to our clearing house and the intermediary tt the payer and said that is what the rejection is and I am like it doesn't make sense. I asked if I could talk to the intermediary or payer and I get a no. I am at a loss for all our new opens. 

 

Just wanted to see if anyone else is having the same issues. 

 

Traci Olson

Regency Home HealthCare
651-488-4655 Office
651-488-4656 Fax

 

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Confidentiality Notice: The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you.