contracting

  1. K

    Wiki Contracting for office but not global for a nurse midwife, is this possible?

    I am looking for some guidance and have been unable to find any good info on this. I have a provider who is a nurse midwife and she is wanting to start seeing patients in her office for things like paps and well women checks. She is not contracted with any insurance company currently. What she...
  2. B

    Wiki Credentialing Software

    We are looking for a credentialing software to utilize. What software have you used and what did you like or dislike? I appreciate your recommendations. Thank you
  3. C

    Wiki Out of network billing!!

    Hello! Our practice just became in network with UHC as of June. Our effective date was 6/22/18, there was miscommunication with the rep from UHC and the person in our company who signed the contract. The person was under the impression that once the contract was signed and submitted back to the...
  4. A

    Wiki Opt out of HMO

    I work at a physical therapy clinic who (thought) we only took PPO insurances. Now, we find out (after a call and a dig through one of our contracts) that one of our insurances looped us into their 'complete' contract (PPO, EPO, HMO, etc.). I recently remember reading that their was a legal...
  5. E

    Wiki Remote Physicians Office Alaska - New Practice Credentialing/Reimbursement Schedule

    I am currently working for a group practice that serves both the Anchorage, AK area and the Kodiak, AK area. Kodiak being a remote service location with minimal clinic and hospital coverage for maternity care. The practice is new and wants to be able to charge a higher remote service location...
  6. C

    Wiki Upcoming Subplan additions excluding NDs

    Hi, I'm new to the billing field and have recently found out that both Premera and Regence have now added closed sub plans that specifically exclude ND coverage. This is apparently because the plans are closed networks and we can't contract in with them, even though we are currently contracted...
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