laneylyn1978
New
I know the rules on splitting antepartum care billing if the patient has an insurance change, however I am fighting with the other biller in my office regarding a specific issue. If a patient switches insurance mid-pregnancy you have to split the billing, however with North Carolina Blue Cross Blue Shield policies your policy number is always the same regardless of your group number and I believe that the rules still apply to patients with this insurance. Since their policy number does not change she doesn't think we have to split the billing and can still bill global. She says that they always pay no problem so she thinks it is the correct way to bill. I, on the other hand, still stand by the fact that her insurance changed, eventhough her policy number may be the same her group number is not because she is now being covered under benefits that are different than her previous benefits and it is not the same policy. Any ideas from anyone?