Recovery letter system error (5/15/2013)
Recently a system error occurred causing a delay of refund recovery adjustment notices being sent. No notices were sent between March 10 and April 19.
On April 22 notices were sent to providers for those adjustments that took place in March and early April. Please reference your March and April payment vouchers for information regarding these adjustments.
Voucher deductions will occur as scheduled, 60 days from the adjustment date. Check payments mailed to us for these overpayment adjustments may not reach us in time to credit before voucher deductions occur. If we have already processed the refund recovery adjustment on your voucher, we will return your check.
Claim payment cycle delayed one day (4/2/2013)
A recent system install caused our claim processing cycle to be delayed by two days. Claim payments that would have been processed on Tuesday, April 2 will now be processed on Wednesday, April 3. Future payment cycles should return to normal. We apologize for the inconvenience.
Updated information regarding 2013 behavioral health claims issues (2/21/2013) (Updated 3/8/2013)
3/8/2013 – Update: As we worked to resolve the issues below, we identified additional behavioral health claims that required reprocessing. Those claims are currently being reprocessed and we anticipate they will be completed by Friday, March 15. Note: It is not necessary to resubmit those claims.
Last month, we encountered issues that affected the processing of behavioral health claims for 2013 dates of service that included any of the new 2013 CPT® codes. Those issues were:
- Delayed release of the 2013 Medicare Physician Fee Schedule (MPFS) due to the enactment of the American Taxpayer Relief Act of 2012, signed into law on January 5, 2013.
- A higher than normal number of new/changed psychotherapy CPT codes, including the retirement of many existing codes.
- The addition of new rules related to billing for time increments and for coding when both a psychotherapy service and an evaluation and management (E&M) service are performed in the same session, and the use of the new interactive add-on codes.
We have been working diligently to resolve the issues that impacted the processing of these claims and will have them processed/reprocessed by February 22, 2013. We apologize for the delay and appreciate your patience and understanding.
Portland area Regence MedAdvantage PPO fee schedule update (2/27/2013)
In September 2012, we notified Regence MedAdvantage Preferred Provider Organization (PPO) network providers in the Portland area and Clark County, Washington of an adjustment to their reimbursement rate that would be effective January 1, 2013. The adjustment has been delayed and will go into effect for all Regence MedAdvantage claims with dates of services on or after March 1.
Satisfaction survey to be conducted this week (2/11/13)
We are conducting quarterly satisfaction surveys with provider office staff this year. Our first wave of fielding will begin this week.
If you receive an email regarding this survey, please take a few minutes to share your experience with the following:
- Overall satisfaction
- Electronic tools
- Claims processing
- Payment vouchers
- Provider Services staff
- The BlueCard® Program
Your feedback will help us to deliver services and tools that enable Regence to be a trusted source in the health care community. Our goal is to make it easier for you to do business with us and for our members, your patients, to make more informed, value-based decisions.
Thank you in advance for completing this important survey.
For past announcements, please view the What's New archive.