RSS Feed
Latest Updates
Sep
18
Mclaren Claim Rejections
Posted by Will Morrow on 18 September 2017 03:27 PM

McLaren Health Plan has identified an issue with claims rejecting an error. Claims submitted to Optum on August 4th, 2017 to September 11th, 2017 rejected in error at the payer. The claims are currently processing at the Mclaren as normal so please disregard the rejection messages.  

 The affected claims were rejected with the following error messages:

            This Segment Has Data Element Errors

            This segment Exceeds Maximum Use

            This Data element has an Invalid code value

Next Steps:

  • McLaren is working to resolve the issue
  • Claims that rejected are from 08/4/2017 to 9/11/2017 and are currently in process
  • No provider action is needed at this time

Read more »



Sep
8
Between the dates of 8/28/17-9/8/17 claims for the following payer may have failed erroneously for the following reason:

Original Message: Complete facility provider information required FE637

New Message:
Payer Specific Edit: Facility NPI is required when Facility information is present. FE637

Payer:
Southern California Physicians MCS SCP01

All affected claims need to be resubmitted.  We apologize for any inconvenience.
Read more »



Jul
25
Erroneous Rejection Message (7/17-7/20 Submissions)
Posted by Will Morrow on 25 July 2017 04:05 PM
Claims submitted to Office Ally for various payers between 7/17 and 7/20 may have failed with one of the following messages:

The Validator encountered an internal error com.edifecs.xengine .XEException com.edifecs.common.ecl.ECLException DB opt Edifecs Common UserECLDB jECL ECLRegistry is not ECL registry. Invalid data

OR

THE VALIDATOR ENCOUNTERED AN INTERNAL ERROR COM.EDIFECS.XENGINE.XEEXCEPTION COM.EDIFECS.COMMON.ECL.ECLEXCEPTION DB

These rejections were due to a processing error at one of our trading partners.

Office Ally has identified all affected claims and those claims have been resubmitted.  New responses will be posted to the claims within the next 24-48 hours.
Read more »



Jul
11
Kaiser Permanente Processed 6/28/17 Files Twice In Error
Posted by Will Morrow on 11 July 2017 11:31 AM
Please see the following communication from Kaiser Permanente:

Date / Time (Time Zone): July 10, 2017, 11:30 AM MT

Due to an internal issue at Kaiser Permanente’s end on 6/29/17, the files that were sent to Kaiser for Colorado region on 6/28/17 were processed twice in error.  Providers will receive 835 with one entry indicating the claim is paid or denied and another entry indicating the claim was denied as a duplicate.  Please have provider ignore the 835 entry that have the duplicate denied status.

Provider action is not required at this time.

837P

  • Kaiser Foundation Health Plan of Colorado – payer id COKSR 

 837I

  • Kaiser Foundation Health Plan of Colorado – payer id COKSR 

Sorry for any inconvenience this may have caused.  Feel free to contact NEHBO should there be any question regarding this matter


Read more »



Jun
28

Please see the below communication from Blue Shield of California:

Good Afternoon,

We wanted to provide an update in regards to our inability to provide the ERA’s that you may be missing from June 19th to current.

We are working diligently with our IT Departments and other resource partners who are currently testing in our processing environments and developing the appropriate scripts needed to move and process our ERA files. 

There currently is not an estimated time of delivery as of yet, however, we feel that we are closing the gap very quickly.

There is a meeting scheduled with all departments involved at 3:00 PM to discuss progress, next steps, etc.; and we will provide another update after this meeting.

We also want to extend our fullest apologizes and recognize the large pain of convenience this has caused your business.


Read more »




Help Desk Software by Kayako support.officeally.com/index.php?