Medical Billing Forum
Billing => Facility Billing => : omalloy October 29, 2009, 04:21:34 PM
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We have a new provider in our group. Our group is credentialed with all payer; however, the new provider is not registered with any payers and does not have a medicare number. In fact, the only credentials I have for her is the license number and the NPI. She worked at other facilities before and she has never had problem with the reimbursement. How should I bill to get reimbursed for such provider?
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You have to get the new provider credentialed under the group. You will have to contact each carrier to see what is required. For Medicare, if the provider is already a Medicare provider you will have to complete an 855R to reassign the benefits to the group.
Michele