Medical Billing Forum

General Category => General Questions => Topic started by: MSordan70 on March 08, 2018, 07:27:56 PM

Title: Referral
Post by: MSordan70 on March 08, 2018, 07:27:56 PM
Hi! Need Help... I am working at a nephrologist group office.  We have a new billing person that is telling us to get a referral using the group information instead of using the group tax id and the provider individual NPI. All our providers are linked to the group contract.

So... What I told her... Referral supposed to be requested under the group tax id and the provider npi. Am I Correct?
Title: Re: Referral
Post by: Michele on March 11, 2018, 08:04:21 PM
Are you giving a referral or requesting a referral?  I think you are requesting a referral.  The referrals are usually done to the group so that no matter what individual provider the patient sees it will be covered.  However, some insurance carriers require that the individual doctor is named.  How have you been doing it prior to getting the new biller?  Was it working?