multiple individual providers?
I'm having trouble with claims submitted on which I'm referencing 2 different individual providers.Patient saw one of our Speech-Language Pathologists (SLP) one day and another SLP the following day....
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Within a group, where 2 different providers are seen I never bill on the same claim. We have no problems and they get paid. I can see where the edits would have a problem as well as the reps. I know...
View ArticleRe: multiple individual providers?
Thanks Karen.I just can't wrap my brain around what kind of problem it could create to have 2 individual providers on one claim. Payment goes to the group not the ind. provider.I'm not questioning how...
View ArticleRe: multiple individual providers?
When I have billed for a group, the individual provider's name goes in box 31 and the group's name goes in box 33. I don't know if you're doing it the same way or not; we had insurance companies tell...
View ArticleRe: multiple individual providers?
Sharon's right. Only an indiv. can go in box 31. Box 32: "When more than one supplier is used, a separate1500 Claim Form should be used to bill for each supplier."Please see this link on 1500...
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That's helpful input. My BCBS manual and the CMS manual just didn't make clear to me one ind. provider per claim. To me, the NUCC guide to claim form doesn't specifically say that either. What if I...
View ArticleRe: multiple individual providers?
You're not dealing with an insurance policy, you're dealing with the technological limitations of a (very complex) software system. You can't really expect someone who makes $10/hour to read an answer...
View ArticleRe: multiple individual providers?
When I first came to my practice almost 9 years ago, they were posting multiple docs to one claim. When I saw the A/R, I figured out one (of the MANY) problems. Box 31 is definitely the culprit and...
View ArticleRe: multiple individual providers?
I'm sensing a resounding "NO" Thanks for sharing your knowledge.
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