Billing > Billing

Question on starting a group practice

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bellinghausen:
Thank you very much.  :)

Pick3dlast:
Mostly the only time an insurance company pays a provider that renders services somewhere other than where he is affiliated is for ER in a hospital setting or inpatient settings. these are referred to as downstream providers at this point. Otherwise the case is very unlikely. There is typically one NPI associated to each provider and practice, however the provider can choose to be credentialed through as many groups as he can handle. The individual NPI stays the same it would just be billed with the new or additional groups TIN. A provider would simply have to go through a usually 6 month credentialing process to have this done through each insurance company that the additional group is contracted with.

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