Wiki Adding new drs to practice


Hernando, MS
Best answers
Our practice will be hiring a new doctor soon. This doctor will not be enrolled with all the carriers we file with. Some people in the billing office state that we can bill for the new doctor's services under one of the other doctor's name. I don't think this is correct. Can someone please help me out with this? Also, if possible, please direct me to documentation on this issue.

From personal experience, this could be carrier specific. I had some carriers that would allow a supervising physician. As a precaution, I would have the carrier submit proof in writing.

I found that the majority of carriers would not honer a claim until they were actually credentialed. This information was obtained through provider relation correspondence. The obvious problem with that was the filing limit for that individual carrier.

For some carriers, they will go retroactive.

I wish I could give you a better answer. Maybe someone else has some input.
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