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AH AJ and HO Modifiers for Health Partners

Overview 

You can automate these specific modifiers (AH, AJ & HO) to travel on a claim based on staff credentials.  This is specific to the payer Health Partners (HPAMN).  This article will explain how to set this up and handle exceptions for specific codes.
Step 1:  Assign Credentials for Staff
  1. Go to the Staff Module
  2. Double-click to open the staff record
  3. Click on the Role Tab
  4. In the field Credentials (billing), select the billing credential for this staff from the dropdown list
  5. Click Save

Important Note:

  • PsyD will assign a modifier of AH
  • LICSW will assign a modifier of AJ
  • LP will assign a modifier of HO
Step 2:  Set Up Payer
  1. Go to the Payer Module
  2. Double-click to open the Health Partners payer
  3. On the Payer Tab, choose a default setting Automatically send AH, AJ, and HO modifiers
    • Yes: Automatically send these modifiers for all codes that have the appropriate credentials.
    • No:  Do not automatically send these modifiers for all codes that have the appropriate credentials.
  4. Click on the Codes tab 
  5. Click on the Rates Sub-tab
  6. If you need to over-ride the default because a specific code does not follow that rule, you can select the do that in the column Automatically send AH, AJ, and HO modifiers.​​​​​​​
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