Topics about Optum go here.
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pocko101
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- Joined: Fri Apr 22, 2016 3:04 pm
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by pocko101 » Sun Apr 24, 2016 1:16 pm
we are currently billing medicaid ins with doctors npi in box 24j and the group npi in box 33a but medicaid has been rejecting our claims and when i called to find the reason they told me we need to remove dr's npi from 24j . i tried with no success what do i need to do. thank you
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Andrew
- Posts: 153
- Joined: Tue Mar 19, 2013 3:24 pm
- Location: Springfield, MO
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by Andrew » Mon Apr 25, 2016 8:57 am
What do they want in 24J instead?
Andrew Analla
Support Team
MedTech Medical Management Systems
3058 S Delaware Ave
Springfield, MO 65804
Ph: 417.890.6777 | Fax: 417.890.6788
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pocko101
- Posts: 11
- Joined: Fri Apr 22, 2016 3:04 pm
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by pocko101 » Tue Apr 26, 2016 12:55 pm
The rep from Medicaid said we should leave box 24J ???
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pocko101
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by pocko101 » Mon May 02, 2016 2:06 pm
the rep from Medicaid told me to leave box 24j blank
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Andrew
- Posts: 153
- Joined: Tue Mar 19, 2013 3:24 pm
- Location: Springfield, MO
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Contact:
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by Andrew » Mon May 02, 2016 3:18 pm
Are you printing paper claims or electronic?
Andrew Analla
Support Team
MedTech Medical Management Systems
3058 S Delaware Ave
Springfield, MO 65804
Ph: 417.890.6777 | Fax: 417.890.6788
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pocko101
- Posts: 11
- Joined: Fri Apr 22, 2016 3:04 pm
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by pocko101 » Tue May 03, 2016 2:19 pm
we are sending electronic claims through optum our clearinghouse
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pocko101
- Posts: 11
- Joined: Fri Apr 22, 2016 3:04 pm
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by pocko101 » Tue May 03, 2016 2:36 pm
we are using medisoft version 20 and we are sending electronic claims through optum our clearing house
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pocko101
- Posts: 11
- Joined: Fri Apr 22, 2016 3:04 pm
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by pocko101 » Tue May 03, 2016 2:37 pm
we are using medisoft version 20 and we are sending electronic claims through optum our clearing house
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Andrew
- Posts: 153
- Joined: Tue Mar 19, 2013 3:24 pm
- Location: Springfield, MO
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Contact:
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by Andrew » Tue May 03, 2016 3:21 pm
Does the provider send as individual or group?
Andrew Analla
Support Team
MedTech Medical Management Systems
3058 S Delaware Ave
Springfield, MO 65804
Ph: 417.890.6777 | Fax: 417.890.6788
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Gavin Walker
- Posts: 4626
- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
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by Gavin Walker » Tue May 03, 2016 3:31 pm
Hey good news. If you want to transfer your Optum account under us, we can then provide FREE electronic claims support and we can work with you directly on this issue. If you want to do this, private message me. We should have the same prices as what you are already paying.
Gavin Walker
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386
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pocko101
- Posts: 11
- Joined: Fri Apr 22, 2016 3:04 pm
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by pocko101 » Wed May 11, 2016 3:21 pm
I have been waiting to hear from medicaid billing rep and today she called and told me we bill as individual and yes to leave box 24j empty and leave the group npi in box 33a I would appreciate any help as to how to go about to do this
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Andrew
- Posts: 153
- Joined: Tue Mar 19, 2013 3:24 pm
- Location: Springfield, MO
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by Andrew » Wed May 11, 2016 4:33 pm
If you are billing as individual why are they sending Group in 33? Are you using Revenue Management?
Andrew Analla
Support Team
MedTech Medical Management Systems
3058 S Delaware Ave
Springfield, MO 65804
Ph: 417.890.6777 | Fax: 417.890.6788
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pocko101
- Posts: 11
- Joined: Fri Apr 22, 2016 3:04 pm
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by pocko101 » Wed May 18, 2016 3:52 pm
I called a medicaid rep and he said being Dr's medicaid provider number is linked to both his individual npi and the group npi we can use either npi in box 33A and being the group npi was already set to show there it would be easier to just leave it there but box 24j does have to be empty thank you for your help
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Gavin Walker
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- Location: Springfield, MO
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by Gavin Walker » Thu May 19, 2016 1:26 pm
That's weird. If they really want it blank, go into the provider ids grid and setup an override for Medicaid and leave the NPI # blank.
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Andrew
- Posts: 153
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- Location: Springfield, MO
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by Andrew » Fri May 20, 2016 11:05 am
The only way I can see doing this would be a custom Iguide for revenue management.
Andrew Analla
Support Team
MedTech Medical Management Systems
3058 S Delaware Ave
Springfield, MO 65804
Ph: 417.890.6777 | Fax: 417.890.6788