Medical Billing Forum

General Category => General Questions => Topic started by: wildcat1842 on November 16, 2010, 12:28:32 PM

Title: How to add new doctor?
Post by: wildcat1842 on November 16, 2010, 12:28:32 PM
Hi! I have worked for one doctor for 10 years, he is an ophthalmologist. He has decided to add an optometrist. The optometrist has given me all his information, NPI number etc. When I bill for the optometrist, all the payments go to his other office (he only works with our office 2 days a week) even though our address in on the claim. Is he supposed to have different numbers for our office? I have never had to deal with more than one doctor or adding a new doctor, so please forgive me. Thanks!
Title: Re: How to add new doctor?
Post by: Michele on November 16, 2010, 06:30:40 PM
Just billing with the Dr's info isn't enough.  All insurance carriers need to be notified that he is working for you and he has to be set up under the Ophthalmologist.  You need to contact all insurance carriers immediately.

Michele
Title: Re: How to add new doctor?
Post by: wildcat1842 on November 17, 2010, 01:05:22 PM
Thanks for your response! We did contact all the insurance companies. They told us that after 30 days, he will be effective. We waited 30 days before submitting the claims, and now the payments are going to the dr's other office.  :-[ Any other suggestions? Thanks!
Title: Re: How to add new doctor?
Post by: Michele on November 18, 2010, 11:16:43 AM
You need to contact them and ask WHY???  Isn't it wonderful?  No seriously, contact the insurance carriers that paid to the other office and see if something wasn't indicated appropriately on the claims, or if they dropped they ball on their end.  I've had similar situations and it is a pain.  You need them to get to the bottom of why they paid the wrong office.  Either they didn't get things right in their provider maintenance files, or you have something not quite right on the claims.

Good luck!

Michele
Title: Re: How to add new doctor?
Post by: wildcat1842 on November 21, 2010, 11:44:16 AM
Thank you!
Title: Re: How to add new doctor?
Post by: tlewis on January 20, 2011, 12:28:38 PM
My guess would be that you bill on a HICFA 1500?? If so I would call the office and see what they have inputed for service facility location and billing provider info & phone#. box 32 and 33. My guess is they have the other office's info in and that is why the payments are being sent there. in order for the payments to be sent to your office box  33 would need to have your office info in it. Box 32 should have your office infor as well since that is where the service is being provided for electronic billing it is loop something something. In my billing program if I adjust anything for the HICFA hard copy it auto adjust for the electronic side. I'm assuming that they are coding but your office is suppose to recieve the payment.
Title: Re: How to add new doctor?
Post by: camedbill on January 20, 2011, 01:14:27 PM
Best way is to create a group and add that doctor under your group's tin & NPI.  If not possible, then contact the insurance companies to see if they accept 2nd office location but even with this route, payments will still be problematic.  Make sure to have good communication with the new doc's other office & have them fax any eobs to you pronto.  Good luck!