Kareo | Help and Support

Kareo will be unavailable during this period due to standard system maintenance.

by KareoSupport

Important Message from MedAvant

Date Range: Dec 10, 2007 to present

Affected Payer Names and Payer IDs:

OPT01 - Optimum Choice For AMERICAN RAD

00096 - Mamsi Life & Health Ins

52152 - Optimum Choice Of The Carolina's

52149 - Alliance PPO Inc

52148 - Mamsi Life And Health Ins

MA001 - Mid-Atlantic Medical Services Insurance

Details:
·  Internal audits have discovered that some INS responses are outstanding for the aforementioned Payer ID’s and date range.

·  In following up with the payer, MedAvant was advised that they are having an internal system issue with generating and posting their claim status reports for all of their submitters.  As a result, some Payer claim responses are delayed.

·  MedAvant is actively working with the Payer to resolve this issue and we will send an update as soon as the delayed INS responses will be available.

·  Please note that only INS responses were delayed.  The claims were received and processed successfully at the payer.

·  We apologize for this delay.

Submitter Actions:
None

Notification ID: 20080130-03

by KareoSupport to Electronic Claims

Important Message from MedAvant

Date Range: 01/07/2008 to present

Details:
We are experiencing delays with parsing payer responses in our INS report. 

We are currently working on resolving the issue and we will send an update when this is completed. 

Please note that only INS responses were delayed. The claims were received and processed successfully at the payer.

We sincerely apologize for the inconvenience

Submitter Actions:
None

Notification ID: 20080130-02

by KareoSupport to Electronic Claims

Important Message from MedAvant

Date Range: 01/10/2008 – 01/25/2008

Details:
·  MedAvant rejected some claims erroneously from 01/10/2008 through 01/25/2008.

·  These claims were resubmitted using the updated edits on 01/29/2008.

·  We apologize for any inconvenience this may have caused.

Submitter Actions:
None

Notification ID: 20080129-02

by KareoSupport to Electronic Claims

Important Message from MedAvant

Claims to Begin Denying as “Unprocessable” if Supplier Number / NPI combination does not match Information Maintained by NPPES and NSC

CIGNA Government Services has informed us that they have been deleting claims and sending a notification letter to providers when Supplier Number / NPI combination submitted on a claim did not match the information provided to the NPPES.

Effective immediately the payer will no longer delete these claims but will begin denying as unprocessable/return reject with the following error message: – “Missing / incomplete / invalid pay to provider primary identifier”.

Submitter action:
If the above message is received, please verify the information in NPPES and make any corrections needed. Once your record has been corrected please resubmit your claim.

by KareoSupport to Electronic Claims

Important Message from MedAvant

Date Range: 12-20-07

Details:
·  Due to system issues at the payer, the claim confirmation report was not created.

·  As a result, MedAvant is unable to generate the INS responses for this date.

·  Please note that the claims were received and processed successfully at the payer.

·  We apologize for the inconvenience.

Submitter Actions:
None

Notification ID: 20080122-02

by KareoSupport to Electronic Claims

Important Message from MedAvant

Effective Date: January 8, 2008

Details:
All electronic claims for Maryland Health Insurance Plan (MHIP), Payer ID 22347 submitted on or after January 8, 2008 will need to be mailed to the addresses below. 

Electronic claims will no longer be accepted.

Submitter Actions:
All Claims with a Date of Service of January 8, 2008 or later
for Payer ID 22347 will need to be mailed to:

For Members of the HMO Benefit Option

CareFirst Blue Choice
P.O. Box 804
Owings Mills,MD 21117-9998

For Members of the PPO and HDP Benefit Options:

CareFirst BlueCross Blue Shield
P.O. Box 804
Owings Mills,MD 2117-9998

Notification ID: 20080115-02

by KareoSupport to Electronic Claims

Important Message from MedAvant

Date Range: Effective Immediately

Details:
MedAvant Healthcare is in the process of setting up an electronic connection to ConnectiCare VIP Medicare.

Until this connection is in production, claims may be submitted to ConnectiCare VIP Medicare using the Payer ID PAPER. 

These claims will then drop to paper and be sent to the payer. 

A customer notification will be sent out once this payer has gone live with electronic claims, providing the correct electronic Payer ID at that time.

Submitter Actions:
Providers can begin to submit claims for ConnectiCare VIP Medicare, by submitting claims with the Payer ID of PAPER. 

You must include the following payer name and address on the claim:

ConnectiCare VIP
PO Box 4000
Farmington, CT 06034-4000

Notification ID: 20080116-01

by KareoSupport to Electronic Claims

Important Message from MedAvant

Date Range: 01/01/08 to Current
 
Details:
·  In order to meet NPI requirements, this payer modified their claim, or batch report, acceptance format effective 01/01/08. As a result, MedAvant is experiencing a delay in generating the INS responses.

·  MedAvant is revising our processing system to accommodate the new report format and we will send an update when this is completed.

·  Please note that only INS responses were delayed. The claims were received and processed successfully at the payer.

·  We apologize for the inconvenience.
 
Submitter Actions:
None

 
Notification ID: 20080117-01

by KareoSupport to Electronic Claims

Kareo will be unavailable during this period due to standard system maintenance.

by KareoSupport