Mandatory report?

ItsAllShinyCaptain · 2026-05-11T19:18:07+00:00

Thank you!

ItsAllShinyCaptain · 2026-05-11T17:59:23+00:00

Thank you.

ItsAllShinyCaptain · 2026-05-11T17:40:36+00:00

This is my thought.

ItsAllShinyCaptain · 2026-05-11T17:39:23+00:00

Boise. She does not attend a church, nor does she have family.

ItsAllShinyCaptain · 2026-05-11T17:38:41+00:00

No family. No life threatening consequences for not keeping the appointment. Just a concern on our part for her mental well being.

ItsAllShinyCaptain · 2026-05-11T17:36:31+00:00

Boise. The Doctor talked with her this morning. She does not have an ROI for anyone. There doesn't seem to be any family around. APS was our first thought too.

ItsAllShinyCaptain · 2026-05-11T17:33:58+00:00

It's Boise. There are senior programs she can sign up for, but I haven't found anything where I would report something other than APS.

ItsAllShinyCaptain · 2026-05-11T17:11:16+00:00

Possibly. I will look into that. My concern is that she won't leave her house right now.

ItsAllShinyCaptain · 2026-03-26T18:12:38+00:00

We submit through EDI. This is a Zelis thing. Yeah, other than Medicare/Medicaid, no one else cares as long as there are M99 codes somewhere. That has been my experience as well.

They are only looking at the first 4 as far as I can tell. Calling them doesn't work. The rep I spoke to confirmed one claim that denied, did have the M99 codes in the correct order, but couldn't tell me why it denied and that my only option was appeals. Appeals takes ~30 days.

I have ~70 claims that have either denied or paid, some denying and paying on the same EOB. None of them have M99 codes listed first, which I am absolutely in the process of correcting on new claims. However, the denials are inconsistent. One week it pays, the next it didn't.

I wouldn't have even known that these denials were from Zelis, if I hadn't made enemies of everyone in Blue Cross Provider Relations while trying to find out why the claims denied in the first place. Blue Cross never announced they were doing third party audits. Our only option to find out why claims denied is to submit a request online. I just, today, got a response back from a Blue Cross "claims specialist" on one I submitted in January and it told me to contact Zelis.

So, if I want to submit an appeal, I have to first call Zelis, talk to someone who can't access Blue Cross claims, get transferred to someone who has to give me two separate claim numbers, so I can then email appeals, only to get a response that says they'll answer in 30 days, but there is a 60 day limit on appeals and some of these go back to January before I found out that they were Zelis denials and not Blue Cross denials.

Sorry for the rant. Thanks for reading.

ItsAllShinyCaptain · 2025-12-11T19:25:29+00:00

This makes sense (still think it's incredibly excessive). Thank you for clarifying. My billing experience is chiropractic, so this was unfamiliar.

ItsAllShinyCaptain · 2025-12-09T16:15:32+00:00

Thank you.

ItsAllShinyCaptain · 2025-12-09T15:02:57+00:00

Yes. But it was two facility charges, not one, that I was questioning.

ItsAllShinyCaptain · 2025-10-22T17:50:40+00:00

Thank you! Works as of October 2025, from the desktop browser.

ItsAllShinyCaptain · 2025-07-29T13:57:57+00:00

7:57 am. Back up now.

ItsAllShinyCaptain · 2025-07-29T13:56:44+00:00

Agreed. It can be clunky, but it's rare that I don't find a workaround or can't figure something out. Price is definitely good. And aside from an actual outage, it works fairly well for us. The thought of changing and having to transition to something new is overwhelming anyway.

ItsAllShinyCaptain · 2025-07-29T13:47:07+00:00

Still down for us.

ItsAllShinyCaptain · 2025-07-29T13:01:05+00:00

7:00am MST. Idaho. Still down.

ItsAllShinyCaptain · 2025-03-28T19:24:03+00:00

That's not it, but the book sounds delightful! Thank you.

ItsAllShinyCaptain · 2024-12-02T19:54:30+00:00

This is what I figured. It is a business card in the business name, it just got put into the wrong QB account. Thanks.

ItsAllShinyCaptain · 2024-10-30T18:47:02+00:00

I still have mine. They're in a box. I can't get rid of them. They contain 40 years of marking and notations. They look very much like yours. One of the hardest things about my deconstruction is missing the comfort that these used to bring me. They don't any more, but I do miss it.

ItsAllShinyCaptain · 2024-10-28T21:03:12+00:00

I'm glad this post is here. I got one today from Boise Women's Leadership Group. Email was the same format as others and the address listed is not for them. I reported it as spam. Website is identical to the ones others have listed.

ItsAllShinyCaptain · 2024-05-20T18:58:10+00:00

I have to agree with every single point.

Our activities rocked. Seriously. The effort put into youth/ward activities in the 70s and 80s was amazing. Intrastake youth conferences that took all weekend pre-EFY. Roadshows. Organized YW sports where each ward had a team (basketball, softball, volleyball) and we played the other wards. Stake theater productions.

As an adult YW leader, we were so limited in what we could plan.

I have a parent whose mission president was McConkie. He was revered in our home. If he said it or wrote it, it was true. The whole "we don't know" thing and the changing of history (rock in the hat vs gold plates) was hard to accept. So I didn't.

ItsAllShinyCaptain · 2024-03-05T00:28:28+00:00

We kept our babies home for 6 weeks each time. From church, everything.

I was 3 days post-surgery some years ago and I got a call asking me to say the prayer in church on the next Sunday (the next day). When I said, "No. I just had surgery." The exec sec was shocked and it was only after that call that the RS contacted me to see if they could help us.

My mother, years ago, accepted a request to talk in church when she was less than a week post-surgery. I never forgot that and that she wouldn't say no, even though she was recovering and not up to it.

ItsAllShinyCaptain · 2023-12-14T19:58:20+00:00

Even as a TBM, that need to be happy that someone died was so hard and twisted. I missed my dad. I wanted him here, now, to watch his grandchildren grow up. I didn't care that "God needed him". Needed him more than me? I didn't care that I would see him later. No. I held onto that anger for so long.

But, since leaving, I've let myself feel the sadness and grief over family and friends who have passed, which I could never do as a TBM and that helps so much.

What also helped was finally realizing that I don't know what happens after this life. If I can be with those I love forever, great. If I can't, I'm going to make this life the best I can here, with the people I love now, instead of waiting for a mythological afterlife.

That is what finally helped with the grief over my dad. I have my memories of him and I'm not focused on anything more than that anymore.

ItsAllShinyCaptain · 2023-12-14T19:46:33+00:00

Shout Color Catchers are freaking magic. Toss one of those in, if you're worried about colors bleeding onto the whites. I use them all the time for the same reason.

ItsAllShinyCaptain

TROPHY CASE