Beacon Health Options Claim Responses
Posted by Sheila Odeen on 09 May 2019 05:19 PM
Beacon Health Options (Beacon), in collaboration with Office Ally, has upgraded its electronic claims submission application effective April 17, 2019.
The upgraded claims submission process includes the implementation of new claims edits. These edits are in line with industry standards and designed to ensure that claims submitted to Beacon have all of the data elements required to be considered clean claims, and pass HIPAA standards published by The Centers for Medicare and Medicaid Services (CMS). Office Ally is currently working to systematically address rejections related to claims that contain the same Billing Provider NPI and Service Facility NPI.
In the event that a claim fails the edits, you will receive a standard response back from Office Ally. Included in that response will be the reason the claim cannot be processed.
A completely unrelated event on Beacon’s side caused Office Ally not to be able to access response files between 4/17/19 and 5/08/19. The issue has now been resolved and the responses are now being received as planned.
Should you have questions or concerns, please feel free to reach out to our EDI Helpdesk via
888-247-9311 or via email at email@example.com.