Payments > Insurance Payments
Switching provider from SSN to EIN
QueenAlicia:
I have a provider who needs to switch her billing from out of her personal SSN to her corporation EIN. I know this requires filling out paper work and her current biller has no clue on how to do this. What forms need to be resubmitted with her new EIN#? How fast will the EIN go into affect? I know it probably isn't as easy as calling up and talking to someone ( nothing is never that easy in this industry).
PMRNC:
You must notify all insurance carriers using the required method of each insurance carrier. (usually a 1099 but you will want to call each of them first)
When changing tax ID information, many commercial carriers require that new contracts be signed. Even though the provider may have been in network with an insurance carrier for years, when switching to an EIN# it is as if it is an entirely new provider. Medicare requires that the appropriate CMS forms be completed.
Also your provider will need to obtain a group or type II NPI number that MUST coorespond with the tax ID number and business name! The provider keeps the individual or type I NPI to identify themselves as rendering provider but will use the Type II NPI for billing.
IMPORTANT: An individual or Type I NPI cannot be used with an EIN# and a legal business name.
QueenAlicia:
Thanks Linda!
At this time should she try to negotiate the fees?
dekenn:
Actually, an individual NPI number is appropriate for a sole proprietor, even if he has a tax id (EIN) and a DBA name.
The key is not the Employer ID number, everyone needs that to pay payroll taxes, etc., but that he's a sole proprietor, not an LLC, or incorporated in any way, or in a group practice.
QueenAlicia:
She's incorporated now.
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