Wiki Tax Id and Billing

[ssmeyers48]

I have a independent contractor physician who dissolved her corporation 3 years ago, mind you did not tell me until way after the fact. I had to fix all her billing and put her under the practice's tax id. She just informed me that some time this year she re-incorporated. My question is: do I have to, again, change her billing to her tax id?

 

[KarenlFelix]

If she will be filing and getting reimbursements through her own-then yes.

 

[lbennett@azaleahealth.com]

Some networks, especially state Medicaid plans, will suspend and/or terminate a provider's contract if the provider fails to file claims for over a year. So re-incorporating her tax ID won't mean a thing to them.

What you need to do is contact your major payers and find out what they have on file as the billing provider info. Billing provider info consists of tax ID, billing name (HCFA-1500 box 33), billing address (HCFA-1500 box 33), and billing NPI (HCFA-1500 box 33). You will also need to find out the correct PTAN (Provider Transaction Access Number) for Medicare claims. Generally if you call the main provider help line at Medicare and input the NPI, tax ID, and PTAN, then the IVR will tell you if the combo is on file.