EOB

[TammyL]

I BILL FOR A GROUP AN THE GROUP IS NOT CREDENTIALED WITH ANY INS CARRIERS THEY STRICTLY BILL MEDICAID HOW DO I GET A DENIAL FROM A PRIMARY CARRIER IF THERE INS IS COVENTRY, BCBS OR MEDICARE AN THE THERAPISTS IS NOT CREDENTIALED WITH ANY OF THESE CARRIERS EITHER JUST MEDICAID

[RichardP]

HOW DO I GET A DENIAL FROM A PRIMARY CARRIER IF ... THE THERAPISTS IS NOT CREDENTIALED WITH ANY OF THESE CARRIERS ...

Bill them.

[PMRNC]

THEY STRICTLY BILL MEDICAID HOW DO I GET A DENIAL FROM A PRIMARY CARRIER IF THERE INS IS COVENTRY, BCBS OR MEDICARE AN THE THERAPISTS IS NOT CREDENTIALED WITH ANY OF THESE CARRIERS EITHER JUST MEDICAID

I'm curious as to why any group would ONLY take Medicaid? For the carriers that send an EOB and honor assignment you use the EOB to attach to the claim. For the ones where they only send to the patient (Like BCBS) you have to get the EOB from the patient.

[Billing2]

One of my office is all out of network. We pull all EOB off Navi Net or Emdeon. That way I know if the claim is paid.

[TammyL]

WE BILL TO MEDICARE AN BCBS BUT THEY SEND ALL THE CLAIMS BACK BECAUSE THE GROUP OR THERAPISTS IS NOT CREDENTIALED. TO LINDA THEY ARE IN THE STATE OF KANSAS SO THEY JUST TAKE KANSAS MEDICAID WHICH IS MADE UP OF 3 DIFFRENT MEDICAID GROUPS AN THEY ALSO DO THERAPHY IN THE HOME FOR CHILDREN AN ADULTS WITH SPECIAL NEEDS