I am trying to send to the BCBSMN Medicaid plan.  Last I heard there was errors on receiving end.

Has anyone successfully submitted claims for any public program plans to BCBS/AmeriGroup for 2019 DOS?

Tina

________________________________
From: billers@list.mnhomecare.org [billers@list.mnhomecare.org] on behalf of Kelly Rader [Kelly.Rader@HennHomeCare.com]
Sent: Thursday, March 07, 2019 2:00 PM
To: 'billers@list.mnhomecare.org'
Subject: RE: Blue Plus

I am wondering the same about the PPS episode final from 2018 – 2019.

KELLY RADER
INSURANCE BILLING SPECIALIST
HENNEPIN HOME HEALTHCARE
763-425-5959  EX. 44

From: billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org] On Behalf Of Rettig, Lynette
Sent: Thursday, March 07, 2019 1:54 PM
To: 'billers@list.mnhomecare.org' <billers@list.mnhomecare.org>
Subject: RE: Blue Plus

I am getting the same errors thru Availity-  Do you get the error on the 2019 Rap claim or on a Final claim from 2019.  I have the correct payor ID but don’t know about the payor type.

Do the 2018 MSHO admits have to end on 12-31-18 and then be readmitted in 2019 with a new admission??

Thanks for help

Lynette Rettig
Billing Supervisor
Ridgeview Home Health Services
501 S. Maple St STE 1
Waconia MN 55387
952-442-6030 Ext 35520

From: billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org> [mailto:billers@list.mnhomecare.org] On Behalf Of Laura Brown
Sent: Thursday, March 07, 2019 1:51 PM
To: billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>
Subject: Re: Blue Plus

*CAUTION - EXTERNAL EMAIL* 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 am sending them thru Availity and that is where I am getting the error message. I have changed the payer ID but wondering if I also have to change the payer type.
Exact error message: For 2019 dates of service, member IDs starting with prefix JTM or LMN for MN Health Care programs must be submitted under appropriate Medicaid payer name.
So I made sure I had the correct payer ID, and the new ID number for the patient and the correct auth number, I have made at least 3 attempts to submit January claims, each time getting a different error message.

On Thu, Mar 7, 2019 at 1:41 PM Kori Meyer <k.meyer@pathwaystoachievementinc.com<mailto:k.meyer@pathwaystoachievementinc.com>> wrote:
I know a new electronic payer ID of 00562 was set up for "BCBSMN Blue Plus Medicaid" -- see BCBS Provider Bulletin dated 112818. Not sure if this is the same for the systems you use, but it might be a place to start investigating.

Kori Meyer
Biller | Pathways to Achievement, Inc
114 S 20th Ave W Suite A | Duluth  MN  55806
218.623.7106 | Fax 218.491.7185

-----Original Message-----
From: billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org> <billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>> On Behalf Of Tina Tomberlin
Sent: Thursday, March 7, 2019 1:38 PM
To: billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>
Subject: RE: Blue Plus

In Trubridge, or aka, Rycan.

The assisted living biller, within our system, has also noted to me that claims will not go through in e-connect, which she has used for quite some time to send claims.

Tina

________________________________________
From: billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org> [billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>] on behalf of Kori Meyer [k.meyer@pathwaystoachievementinc.com<mailto:k.meyer@pathwaystoachievementinc.com>]
Sent: Thursday, March 07, 2019 1:34 PM
To: billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>
Subject: RE: Blue Plus

Where are you seeing this error? Is it in Availity?

Kori Meyer
Biller | Pathways to Achievement, Inc
114 S 20th Ave W Suite A | Duluth  MN  55806
218.623.7106 | Fax 218.491.7185

-----Original Message-----
From: billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org> <billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>> On Behalf Of Tina Tomberlin
Sent: Thursday, March 7, 2019 1:32 PM
To: billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>
Subject: RE: Blue Plus

I am having same issue and would also appreciate any guidance on this.

Tina Tomberlin

Billing/Volunteer Coordinator

Mille Lacs Health System Home Care

________________________________
From: billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org> [billers@list.mnhomecare.org<mailto:billers@list.mnhomecare.org>] on behalf of Laura Brown [lbrown@lakeregionhh.com<mailto:lbrown@lakeregionhh.com>]
Sent: Thursday, March 07, 2019 1:25 PM
To: Billers@list.mnhomecare.org<mailto:Billers@list.mnhomecare.org>
Subject: Blue Plus

Are we supposed to change payer type to Medicaid for our Blue Plus patients with the new JTM and LMN prefix? I am getting an error that they are to be submitted under appropriate Medicaid payer name. Any help?

Thanks

--
Laura Brown
Financial Coordinator
Lake Region Home Health
320-354-5858 phone
888-501-7631 fax

Confidentiality Notice: This e-mail and any attachment may contain confidential information that is legally privileged. This information is intended only for the use of the individual or entity named above. The authorized recipient of this information is prohibited from disclosing this information to any other party unless required to do so by law or regulation. If you are not the intended recipient, you are hereby notified any disclosure, copying, distribution or action taken in reliance on the contents of these documents is strictly prohibited. If you have received this transmission in error, please notify the sender immediately, reply to this transmission and delete these documents.
Confidentiality Notice: This e-mail and any attachment may contain confidential information that is legally privileged. This information is intended only for the use of the individual or entity named above. The authorized recipient of this information is prohibited from disclosing this information to any other party unless required to do so by law or regulation. If you are not the intended recipient, you are hereby notified any disclosure, copying, distribution or action taken in reliance on the contents of these documents is strictly prohibited. If you have received this transmission in error, please notify the sender immediately, reply to this transmission and delete these documents.

--
Laura Brown
Financial Coordinator
Lake Region Home Health
320-354-5858 phone
888-501-7631 fax

Confidentiality Notice: This e-mail and any attachment may contain confidential information that is legally privileged. This information is intended only for the use of the individual or entity named above. The authorized recipient of this information is prohibited from disclosing this information to any other party unless required to do so by law or regulation. If you are not the intended recipient, you are hereby notified any disclosure, copying, distribution or action taken in reliance on the contents of these documents is strictly prohibited. If you have received this transmission in error, please notify the sender immediately, reply to this transmission and delete these documents.