Author Topic: Non credentialed physicians  (Read 1290 times)

krb6525

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Non credentialed physicians
« on: April 16, 2010, 08:46:03 AM »
If a provider sees a patient who has insurance that the provider is not credentialed with, can you still bill the service under a credentialed provider in the same practice?

Thank you
kristina

Michele

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Re: Non credentialed physicians
« Reply #1 on: April 16, 2010, 10:13:39 AM »
It is illegal to bill for services rendered by a different provider under another provider's name.  When the patient made the appointment they should have made it with the provider that does par with the patient's insurance.  The claim should be billed under the non par provider and it will be processed out of network.   :(

Michele


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Pay_My_Claims

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Re: Non credentialed physicians
« Reply #2 on: April 16, 2010, 11:31:25 AM »
It is illegal to bill for services rendered by a different provider under another provider's name.  When the patient made the appointment they should have made it with the provider that does par with the patient's insurance.  The claim should be billed under the non par provider and it will be processed out of network.   :(

Michele

I HAD A POTENTIAL PROVIDER WANT ME TO DO THIS....NOT!!