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Medical Billing Forum
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Billing
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Alice Scott
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Michele
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Billing for Non-par provider
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Topic: Billing for Non-par provider (Read 3308 times)
KimGailey
Newbie
Posts: 2
Billing for Non-par provider
«
on:
May 11, 2010, 07:24:51 PM »
Does a Dr have to complete credentialing with the insurance company to file a claim with them? If they don't do the credentialing, wouldn't it just be out of network?
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Pay_My_Claims
Guest
Re: Billing for Non-par provider
«
Reply #1 on:
May 11, 2010, 11:40:13 PM »
yes, not credentialed = non par
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Michele
Administrator
Hero Member
Posts: 5927
Re: Billing for Non-par provider
«
Reply #2 on:
May 12, 2010, 10:29:33 AM »
Some plans do not have out of network benefits so submitting the claim doesn't always mean payment will be made. But you should always file to be sure.
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Priyan
Newbie
Posts: 31
Re: Billing for Non-par provider
«
Reply #3 on:
May 18, 2010, 09:56:35 AM »
For Traditonal insurance like Medicare and Medicaid we cannot send an claim form to them untill we are credentialized
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Priyan.D
Pleasure in Job, brings Perfection in work
Medical Billing Forum
Re: Billing for Non-par provider
«
Reply #3 on:
May 18, 2010, 09:56:35 AM »
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Medical Billing Forum
»
Billing
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Billing
(Moderators:
Alice Scott
,
Michele
) »
Billing for Non-par provider