General Category > New!
Multiple Clearinghouses
martin0619:
Can one group NPI be billed through two different clearinghouses? Can one use a clearinghouse and one submit directly to the carrier? Any help with this, would be greatly appreciated.
:)
medauthor:
No, as each clearinghouse has their own submitter ID, and the same NPI # (Billing Entity'e NPI# in 33) cannot be linked with 2 clearinghouses....at least that it what I was told :)
Michele:
I bill direct to some carriers and I use 2 different clearing houses, Office Ally & Availity, all for each provider. So in my experience, if I understand the question correctly, the answer is yes. I have submitter numbers for each clearing house. Most insurance carriers do not require that I even list all the providers I will be billing for. The ones that require separate paperwork signed by the provider, I fill out and submit.
Michele
medauthor:
Hmmm...Office Ally told me that I could not bill out for a provider that was also being billed out by a differet clearinghouse, as Office Ally has their submitter ID and the other clearinghouse, for example, ABC has their own submitter ID......they told me if I was goping to be using them as a clearinghouse, which I do, NO more claims could be billed out to Medicare, for example, using the 'old biller's ' clearinghouse..............
Pay_My_Claims:
maybe michele is talking about using different clearing houses for different providers??? I can't say for the commercials, but I know MEDICARE will not allow the same NPI to be billed under 2 clearinghouses.
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