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Jun
11
Partnership HealthPlan of California
Posted by Will Morrow on 11 June 2018 01:56 PM
Please see the following communication from Partnership HealthPlan of California:

This notification is to inform you that we have recently experienced a production issue that may have impacted some of your claims.

If you received a rejection due to member related issues and recognize that the rejection is invalid, please resubmit those claims.

Please note: Due to this production issue there has been a delay in processing claim files from Tuesday 6/5/18 through today 6/8/18, and the response files pertaining to these files will be posted to your “out” folder as soon as possible. 

We apologize for any inconvenience this may have caused.

Thank you.

Information Technology Department
Partnership HealthPlan of California


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Oct
11
Erroneous Rejection Presbyterian Intercommunity Hospital (BHP01) 9/1-10/4
Posted by Will Morrow on 11 October 2017 05:01 PM
Between the dates of 9/1/17-10/4/17 claims for the following payer may have failed erroneously for the following reason:

Rejection Message: Payer Rejected

Payer:
Presbyterian Intercommunity Hospital (BHP01)

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

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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.
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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.
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