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Automate UA Modifier

Overview

In Procentive, you are able to have the UA modifier automatically sent on claims for CTSS services. Automation of the UA modifier involves set-up at the level of both the payer and the client.  This article will walk through the changes needed in each of these areas.

Set-up at the Payer Level

  1. Go to the Payers Module.
  2. Double-click on the payer you wish to open.
  3. Click on the Payer Rules tab.
  4. There are two UA Modifier options:
    • UA Modifier with CTSS 9 Codes
    • UA Modifier with CTSS H Codes

      ua modifier setup payer rules2.jpg
       
  5. Choose Yes for each UA Modifier option that applies.
  6. Click on the Rates tab.
  7. Click on the Codes sub-tab.
  8. Locate the column header titled Send UA.

    ua modifier payer rates codes setup2.jpg
     
  9. There are three options:
    • Default:  Defaults to Payer Rules tab set-up  (mentioned in the steps above). 
    • Never send:  Never attach a UA modifier for this payer and this code, regardless of any other setting. 
    • Always send: Always send the UA modifier for this payer and this code, regardless of any other setting. 
  10. Make your selection for each code.
  11. Click Save

Important Note: Even if you have not made any changes to the payer, click Save to close. This will ensure that the coding logic for the payer is the most up-to-date.

Set-up at the Client Level

  1. Go to the Clients Module.
  2. Double-click on the client record you wish to edit (where there is not a blue link).
  3. Click on the Payers tab.
  4. In the field Minnesota Medical Assistance Program choose CTSS.
  5. Click Save.

Verifying That a Modifier is Traveling on a Claim

You are able to view and verify each modifier prior to sending a claim.   From the Confirm Invoices Window, you can verify modifiers using the data link.  

 
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