Tricare rejections

General information about Medisoft
Post Reply
ehc2010
Posts: 34
Joined: Tue Aug 26, 2014 8:26 am

Tricare rejections

Post by ehc2010 » Tue May 21, 2019 9:09 am

Hi,

We have been receiving rejections from Tricare EAST (payor) stating " Billing Provider Secondary ID is missing or invalid. I spoke to Capario technical team and they said we are sending information on LOOP 2010BB segment REF*G2 and it should be removed from Medisoft application. Please let me know how to do it.




Thank you,

Jason M

User avatar
Gavin Walker
Posts: 4283
Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
Contact:

Re: Tricare rejections

Post by Gavin Walker » Tue May 21, 2019 3:02 pm

Jason, the easy way to do this is to go to Revenue Manager and edit the receiver and check the box to suppress Legacy IDs. :D
Gavin Walker
Walker Tek Solutions, LLC
866-890-6777
417-890-6777

ehc2010
Posts: 34
Joined: Tue Aug 26, 2014 8:26 am

Re: Tricare rejections

Post by ehc2010 » Tue May 21, 2019 3:51 pm

Gavin,

I see that this option is already checked. Please suggest an alternative with detail.



Thank you,

Jason M

User avatar
Gavin Walker
Posts: 4283
Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
Contact:

Re: Tricare rejections

Post by Gavin Walker » Wed May 22, 2019 7:45 am

I see 2010BB is the insurance payer loop. Edit your Tricare insurance and go to the EDI/Eligibility tab and set the type field to Tricare/Champus.

ehc2010
Posts: 34
Joined: Tue Aug 26, 2014 8:26 am

Re: Tricare rejections

Post by ehc2010 » Wed May 22, 2019 7:52 am

Gavin,

Thanks a lot.. I will try this today and wait for the payor response.




Thank you,


Jason M

ehc2010
Posts: 34
Joined: Tue Aug 26, 2014 8:26 am

Re: Tricare rejections

Post by ehc2010 » Wed May 22, 2019 8:09 am

Gavin,

I tried it and still have the same rejection from Capario.


Thank you,

Jason M

User avatar
Gavin Walker
Posts: 4283
Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
Contact:

Re: Tricare rejections

Post by Gavin Walker » Thu May 23, 2019 10:19 am

Hmm, any secondary insurance? Make sure the type for that insurance is selected correctly.

ehc2010
Posts: 34
Joined: Tue Aug 26, 2014 8:26 am

Re: Tricare rejections

Post by ehc2010 » Thu May 23, 2019 1:21 pm

Gavin,

On all these rejections we just have one and only one insurance i.e; Tricare East. It all began from 01/12/2019 when Payor Tricare East rejected claims for NPI. We started billing under Group NPI and now Capario rejects for " Billing Provider Secondary ID is missing or invalid. I tried everything possible and its a total mess as we are unable to send out claims to them. Please help.


Thank you,

VJ

User avatar
Gavin Walker
Posts: 4283
Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
Contact:

Re: Tricare rejections

Post by Gavin Walker » Fri May 24, 2019 7:48 am

Go to File > Practice Information > Practice IDs tab and edit the entry that matches your Tricare claims. Blank out anything next to the 2 Legacy Identifier fields. The setting I told you about at first is supposed to suppress all of this, but you never know.

ehc2010
Posts: 34
Joined: Tue Aug 26, 2014 8:26 am

Re: Tricare rejections

Post by ehc2010 » Fri May 31, 2019 3:08 pm

Hey Gavin,

I finally got out of this mess. I see all claims pass both Capario and Tricare East systems. Thanks a lot for all your help and guidance..


Thank you,

Jason M

Post Reply