A | B | C | D | E | F | |
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1 | TYPE | REPORTED/ EFFECTIVE DATE | DESCRIPTION | IMPACT | STATUS | ADDITIONAL INFORMATION |
2 | Reported Error | 10/23/23 | When an 837 is submitted and the claims are not appearing within the claims grid, the provider must check for leading and trailing spaces on their 837. | Provider cannot see the status of some claims. | RESOLVED | Progam updates will now process leading and trailing spaces without issue. |
3 | Reported Error | 9/2023 | When on the claims grid, selecting "resubmit" creates an error message with mutliple letters and numbers. | Unable to resubmit claim. | RESOLVED | Try again, it should go through the second time. WS/DDD is working on a fix. |
4 | Other | 10/26/23 | Provider Relations Team is EXTREMELY short-staffed. | Turn around time for Inquiries is 19 days. | REPORTED | Hiring and training new staff to assist with the volume of Inquiries. |
5 | Reported Error | 12/18/23 | 92526 claims being denied (feeding and swallowing) | 92526 claims submitted after 12/15 are now paying. | RESOLVED | Please resubmit your previous denied claims. |
6 | Reported Error | 12/20/23 | Claims being denied for "rate not authorized" | Claims were being denied | RESOLVED | The Division corrected this problem on 12/21. Providers can resubmit claims that were denied for "rate not authorized". |
7 | Reported Error | 1/3/24 | 835s claim data missing for payment dates 12/29/23-1/4/24 | Focus has continued to process claims as it has received them, however WellSky is not displaying the correct status of the claims. Clean claims have been adjudicated and paid in Focus. | RESOLVED | 1/24/24-835's now visible. |
8 | Reported Error | 1/2/24 | Due to AIHP benefit plan, providers may experience a Claim status saying "Approved by Harmony, ready for PV" | Claims are not transmitting to Focus. | RESOLVED | Resolved 1/23/24. Claims have been resent. |
9 | Reported Error | 1/29/24 | 835s are blank | Some 835's are appearing blank | RESOLVED | WellSky is aware of the issue and working it UPDATE 2-20-24. The fix for the blank 835s was deployed to the WellSky Production database successfully last night and WellSky is still in the process of regenerating all blank 835s. |
10 | Reported Error | 2-6-24 | There are time out issues in single Claim entry | Unable to resubmit claim. | RESOLVED | WellSky is aware of the issue and working it |
11 | Reported Error | 2/12/24 | Text with weird gibberish on log-in screen | unable to log in | RESOLVED | Updates occurred, please clear your cache and cookies and the system should work as normal. |
12 | Reported Error | 2/19/24 | Claims sitting in "Claim De Batch" status | Claims are stuck in this status temporarily | RESOLVED | The issue has been escalated to the WellSky help desk. DDD is watching closely. Wait 24 hours to recheck status. |
13 | Reported Error | 2/26/24 | MIssing Professional Billing System (PBS) Reports in FOCUS | Providers are not able to see PBS Remorts | RESOLVED | The PBS reports should be updated today 2/29/24 and providers will be able to view. Please understand, the reports are being processed but may take a day or two to be visible. |
14 | Reported Error | 4/9/24 | There has only been a small number of claims processed within the last 24 hours ( about 1000). | Unprocessed claims | RESOLVED | Claims are now process as expected without delay |
15 | Reported Error | Claims submitted prior to 4-13-24 are showing "Pended by External Payer" | Delay in processing | RESOLVED | WellSky is aware of this an working. UPDATE: This issue has been resolved 4-29-24 | |
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