Billing > Billing

PA'S

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ellie:

  WE HAVE A PHYSICIAN AND PA. THE PA SEE'S PATIENT'S ALSO. PHYSICIAN IS IN NETWORK WITH BC, THE PA WORKS ALSO IN OUR OFFICE AND SEE'S PATIENTS. BC DENIED CLAIM STATING PA IS NOT IN NETWORK.

DO THEY NOT USE THE PHYSICIANS BC PROVIDER ID - THEY USED THE PA'S NPI STATING THATS HOW THE CLAIM CAME TO THEM.

LET ME KNOW WHAT TO DO.

troyrands:
you can add your PA as a rendering dr and the PHYSICIAN name must be tagged under a refering doctor. Then BC will pay for the procedure. we got paid for our family and dermatology practices.

PMRNC:
Still have to go through the credentialing process with carrier, provider has to add them and get them credentialed. Not all carriers will credential the PA

ellie:
Could this have been a recredentialing problem- the PA has since left the office for another position. what to do ?

ellie:
Or as the prior above answer - Put PA as rendering and primary doctor as referring - not quite understanding.

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