Wiki Retroactive Provider Enrollment

[Cher91600]

I recently began with an office whose NP's have not been on their commercial enrollments. Thankfully, they have been credentialed with CMS, but are not listed on any commercial contract. I am working on getting their CAQH set up correctly, but was wondering if anyone knows if the commercial plans will retroactively add the NP's?

Thank you!

 

[bholmescpc]

Private payors will not generally retro-enroll any providers. Many do still allow the NP to be billed under the doctor's number, you would have to check on your local payors' policies. Good luck!

 

[Cher91600]

Oi, thank you!