CollaborateMD Blog

Claims Processing Issue for CPID 1748 MVP Health Plans of New York

Mon, 17 Jun 2013 17:23:35 +0000

Professional claims transmitted to the payer listed below from the clearinghouse from 06/10/2013 to the present have not been processed by the payer due to a claims processing issue. CPID 1748 MVP Health Plans of New YorkWe will notify you once this issue has been resolved.This delay has affected claims released to the clearinghouse since 10:00 AM CT 06/07/2013If you have any questions, please contact Client Services at 1-888-348-8457, option 2.

Report Generation Processing Issue for CPIDs 4516 and 6408 CIGNA Select

Mon, 17 Jun 2013 17:21:42 +0000

Due to an unexpected processing issue, the clearinghouse experienced issues affecting Institutional and Professional 5010 reports for the following payer:CPID 6408 CIGNA Select (fka Great-West Healthcare) - ProfessionalCPID 4516 CIGNA Select (fka Great-West Healthcare) - InstitutionalThis affected the 999 and 277CA report generation for reports returned from 06/12/2013 to present. This issue caused reports returned from Cigna Select to process under CPIDs 6405 and 4509 Cigna Health Plans. The clearinghouse is working to resolve this issue as quickly as possible and to reprocess the reports to the correct CPIDs. The clearinghouse will keep you updated as additional information is available.We apologize for the inconvenience.If you have any questions, please contact Client Services at 1-888-348-8457, option 2.

Payer Transmit Delay for Multiple Payers

Fri, 14 Jun 2013 17:33:12 +0000

Due to a system issue, a delay occurred in the transmission to the following payers from the clearinghouse on 06/13/2013: CPID 1456 Arizona Medicare CPID 5546 Arizona MedicareCPID 3581 Dean Health Plan CPID 1497 Dean Health Plan CPID 1414 Florida Blue Shield CPID 3517 Florida Blue Cross CPID 6432 Health New England CPID 1469 Iowa MedicareCPID 5557 Mississippi Medicaid CPID 3611 Molina Healthcare of Utah CPID 5584 Montana Medicare CPID 1865 Multiplan New Orleans Division CPID 8556 Multiplan New Orleans DivisionCPID 2411 North Dakota Blue Shield CPID 5593 North Dakota Blue Cross CPID 2453 North Dakota Medicare CPID 2704 Ohio Workers Comp MCOsCPID 1459 Oregon Medicare CPID 5515 Oregon MedicareCPID 1531 Ucare of Minnesota CPID 2466 Wyoming Medicare CPID 5581 Idaho Medicare CPID 7400 Montana Medicare CPID 2454 South Dakota Medicare CPID 5589 South Dakota Medicare CPID 3584 Wyoming Blue Cross CPID 3521 Minnesota Medicare CPID 5940 Mutual Health Services (fka - Antares Management Solutions) CPID 4873 Mutual Health Services (fka - Antares Management Solutions) CPID 2571 Iowa Medicaid CPID 5521 Washington / Alaska Medicare CPID 1462 Washington Medicare CPID 1455 Alaska Medicare CPID 2715 Hawaii Medicaid CPID 3900 Trillium CHP (fka Agate Healthcare (LIPA)) CPID 2444 Trillium CHP (fka Agate Healthcare (LIPA)) CPID 1403 Oklahoma Blue Shield CPID 1514 Oklahoma Blue Cross CPID 4480 Select Health CPID 4728 Deseret Mutual Benefit Associates CPID 2404 Oregon Blue ShieldCPID 5516 Oregon Blue CrossCPID 7426 Idaho Blue Shield Regence CPID 1496 Colorado Medicaid CPID 1548 Colorado MedicaidCPID 7495 Nevada Medicaid CPID 2907 Nevada Medicaid CPID 1527 Utah Medicare CPID 1406 Texas Blue Shield CPID 1682 CarePlus Health Plans, Inc. CPID 1568 Minnesota Medicaid CPID 1468 Minnesota Medicaid CPID 1523 North Dakota Medicare A resolution has been implemented and the claims were transmitted to the payer on 06/14/2013 after the payer's daily cut off. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.

Electronic Routing Change for CPIDs 6408 and 4516 CIGNA Select (fka Great- West Healthcare)

Wed, 12 Jun 2013 12:21:56 +0000

Due to a payer change, the clearinghouse will be changing electronic claims and remittance routing for the following payer effective 06/12/2013:CPID 6408 CIGNA Select (fka Great- West Healthcare) - Professional CPID 4516 CIGNA Select (fka Great- West Healthcare) - InstitutionalPlease be aware:Payer agreements for electronic claims are not required.Payer agreements for electronic remittance are required.Providers already approved to receive remittance advice through the clearinghouse do not need to complete a new agreement. New providers need to complete a new agreement.The clearinghouse Normalized Payer reports will be available on 06/13/2013. You may see some differences in the payer reports you are receiving. If you have any questions, please contact Client Services at 1-888-348-8457, option 2.

Update: Claims Processing Delay

Wed, 12 Jun 2013 12:12:36 +0000

UpdateThis issue has been resolved and all affected claim files have been processed.Original Notice Sent 06/11/2013Due to an unexpected processing issue, we are experiencing a delay in claims processing. This issue is affecting claims submitted to the clearinghouse from 12:00 AM CT 06/11/2013 through the present. We are working to resolve this issue as quickly as possible and will keep you updated as additional information is available.We apologize for the inconvenience. Please be aware of this delay in claims processing.If you have any questions, please contact Client Services at 1-888-348-8457, option 2.

Payer Connectivity Issue Reported by CPIDs 1531 and 4496 UCare of Minnesota

Tue, 11 Jun 2013 09:26:40 +0000

It has been reported to the clearinghouse that UCare will be performing a major upgrade to its core system during the week of 06/10/2013. This conversion will cause delays in the processing of claim files submitted to UCare and will also cause delays in the production of remittance files. Claim processing will be suspended from 3:00 PM on Tuesday, 06/11/2013 through Saturday, 06/15/2013. Reports for files submitted during that time will not be available until processing resumes on Sunday, 06/16/2013. Remittances will not be generated on Friday, 06/14/2013.Payers affected are:CPID 1531 UCare of MinnesotaCPID 4496 UCare of MinnesotaFurther notification will be sent as it is received. The clearinghouse will continue to process files and deliver them to the UCare Secure FTP server. Further notification will be sent as it is received.If you have any questions, please contact Client Services at 1-888-348-8457, option 2.

Claims Processing Delay

Fri, 07 Jun 2013 17:23:50 +0000

Due to an unexpected processing issue, we experienced a delay in claims processing. This issue affected claims scheduled to be transmitted to payers on 06/06/2013 from 11:00 AM CT to 12:00 PM CT and 06/07/2013 from 8:00 AM CT to 9:00 AM CT.Click here for a list of affected payers We are working to resolve this issue as quickly as possible and will keep you updated as additional information is available.We apologize for the inconvenience.Please be aware of this delay in claims processing.If you have any questions, please contact Client Services at 1-888-348-8457, option 2.

Delay in Electronic Remittance Advice (ERA) for CPID 2457 Pennsylvania Medicare

Fri, 07 Jun 2013 17:21:05 +0000

Due to a payer processing issue, there has been a delay in Professional Electronic Remittance Advice (ERA) for the following payer for check date 06/06/2013:CPID 2457 Pennsylvania MedicareAdditional updates will be forwarded as more information becomes available. Please be aware of a delay in the delivery of ERA for check date above.If you have any questions, please contact Client Services at 1-888-348-8457, option 2.

Payer Transmit Delay for CPIDs 1639 and 5701 Martin’s Point Health Care USFHP/Generations Advantage

Fri, 07 Jun 2013 09:14:26 +0000

Due to a payer system issue, a delay occurred in the transmission to the payer listed below from the clearinghouse on 06/05/2013.CPID 1639 Martin's Point Health Care USFHP/Generations AdvantageCPID 5701 Martin's Point Health Care USFHP/Generations AdvantageA resolution has been implemented and the claims were transmitted to the payer on 06/05/2013, after the payer's daily cut off.This delay has affected claims released to the clearinghouse between 5:00 PM CT on 06/04/2013 and 5:00 PM CT on 06/05/2013.If you have any questions, please contact Client Services at 1-888-348-8457, option 2.

Electronic Routing Change for CPIDs 4254 and 3696 One Call Medical

Thu, 06 Jun 2013 13:25:29 +0000

Due to a payer change, the clearinghouse will be changing electronic claims routing for the following payers effective 6/7/2013.CPID 4254 One Call Medical ProfessionalCPID 3696 One Call Medical InstitutionalPlease be aware:Payer agreements for electronic claims are not required.Payer does not generate reports at this time.If you have any questions, please contact Client Services at 1-888-348-8457, option 2.

Update: Electronic Remittance Re-Enrollment Requirement for CPIDs 8504, 2438 Tufts Health Plan

Thu, 06 Jun 2013 13:23:01 +0000

UpdateThe clearinghouse has been informed that the implementation date of 06/21/2013 has been delayed. Also, you will not be able to complete the PaySpan 835 remittance enrollment for Tufts Health Plan at this time. We will notify you when you can begin re-enrolling with PaySpan for the 835 remittance enrollment for Tufts Health Plan and when a new implementation date has been set. Reminder All remittance providers must be enrolled with PaySpan by 06/21/13. The clearinghouse must be granted access to your PaySpan account in order to retrieve remittance files on your behalf. Please be sure to register online with PaySpan as well as on Payer Agreement Library (PAL) before 06/21/13 to ensure your remittance setups will be complete.UpdateThe 835 remittance enrollment form for Tufts Health Plan is now available. Please watch for your registration code from PaySpan and register prior to 06/21/2013.UpdateThe clearinghouse is updating the 835 remittance enrollment form for Tufts Health Plan to accommodate the changes below. We will notify you when the 835 enrollment form is available.Original Notice Sent 05/07/2013Effective 06/21/2013, electronic remittances for CPIDs 8504, 2438 Tufts Health Plan will be administered by PaySpan. Providers who currently receive these remittances are required to register with PaySpan and grant the clearinghouse access to their account so remittance files can be retrieved on their behalf. Providers who already have a PaySpan account only need to grant the clearinghouse access to their account to retrieve the Tufts Health Plan remittances. PaySpan will send registration codes and instructions to each provider. Please register prior to 06/21/2013 to avoid disruption with your electronic remittances.If you have any questions, please contact Client Services at 1-888-348-8457, option 2.

Payer Transmit Delay for CPIDs 1639 and 5701 Martin’s Point Health Care USFHP/Generations Advantage

Thu, 06 Jun 2013 13:09:10 +0000

Due to a payer system issue, a delay occurred in the transmission to the following payer from the clearinghouse on 06/03/2013: CPID 1639 Martin's Point Health Care USFHP/Generations Advantage CPID 5701 Martin's Point Health Care USFHP/Generations Advantage A resolution has been implemented and the claims were transmitted to the payer on 06/03/2013 after the payer's daily cut off. This delay has affected claims released to the clearinghouse between 5:00 PM CT on 05/31/2013 and 5:00 PM CT on 06/03/2013.If you have any questions, please contact Client Services at 1-888-348-8457, option 2.

Payer Processing Issue for CPID 2742 and 6512 Harvard Pilgrim Health Care

Tue, 04 Jun 2013 10:34:21 +0000

Institutional and Professional claims transmitted to the payer listed below from the clearinghouse on 05/27/2013 and 05/28/2013 have not been processed by the payer due to a payer processing issue. CPID 2742 Harvard Pilgrim Health CareCPID 6512 Harvard Pilgrim Health CareA resolution has been implemented and the claims were retransmitted to the payer on 06/02/2013.This delay has affected claims released to the clearinghouse between 8:00 AM CT 05/24/2013 and 8:00 AM CT 05/28/2013.If you have any questions, please contact Client Services at 1-888-348-8457, option 2.

Reminder: Electronic Remittance Re-Enrollment Requirement for CPIDs 8504, 2438 Tufts Health Plan

Mon, 03 Jun 2013 17:25:32 +0000

Reminder: All remittance providers must be enrolled with PaySpan by 06/21/13. The clearinghouse must be granted access to your PaySpan account in order to retrieve remittance files on your behalf. Please be sure to register online with PaySpan as well as on Payer Agreement Library (PAL) before 06/21/13 to ensure your remittance setups will be complete.Update: The 835 remittance enrollment form for Tufts Health Plan is now available. Please watch for your registration code from PaySpan and register prior to 06/21/2013.Update Sent 05/07/2013: The clearinghouse is updating the 835 remittance enrollment form for Tufts Health Plan to accommodate the changes below. We will notify you when the 835 enrollment form is available.Original Notice Sent 05/07/2013:Effective 06/21/2013, electronic remittances for CPIDs 8504, 2438 Tufts Health Plan will be administered by PaySpan. Providers who currently receive these remittances are required to register with PaySpan and grant the clearinghouse access to their account so remittance files can be retrieved on their behalf. Providers who already have a PaySpan account only need to grant the clearinghouse access to their account to retrieve the Tufts Health Plan remittances. PaySpan will send registration codes and instructions to each provider. Please register prior to 06/21/2013 to avoid disruption with your electronic remittances.If you have any questions, please contact Client Services at 1-888-348-8457, option 2.

Update Delay in Electronic Remittance Advice (ERA) for Multiple CPIDs

Mon, 03 Jun 2013 14:48:39 +0000

Update: This issue has been resolved. All impacted ERA have been received and processed.Original Notification Sent 05/31/2013:Due to a payer processing issue, there has been a delay in some of the Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for file date 05/26/2013:CPID 1841 Cigna Behavioral HealthCPID 2595 Cigna Healthcare for SeniorsCPID 4509 Cigna Health PlansCPID 4516 Cigna SelectCPID 5436 Cigna Healthcare for SeniorsCPID 5943 Cigna Behavioral HealthCPID 6405 Cigna Health PlansCPID 6408 Cigna SelectThe estimated completion date for transmission of these files is May 30, 2013. Additional updates will be forwarded as more information becomes available. Please be aware of a delay in the delivery of ERA for file dates above.If you have any questions, please contact Client Services at 1-888-348-8457, option 2.