erinal
Networker
I think I understand what is required as far as the usage of the SA modifier on claims that are billed under the supervising physician on behalf of a mid level provider. But there is one thing that is a little muddy for me. In this section of the article below is where I am needing clarification:
In addition, the rendering care provider's National Provider Identifier (NPI) must also be
documented in field 24J on the CMS-1500 claim form or its electronic equivalent. Use of the
modifier SA and documentation of the rendering care provider will assist UnitedHealthcare in
maintaining accurate data with regard to the types of practitioners providing services to our
members.
Are they wanting the mid level provider's NPI in this space since technically they would be considered the rendering provider?
Any clarification on this would be much appreciated!
In addition, the rendering care provider's National Provider Identifier (NPI) must also be
documented in field 24J on the CMS-1500 claim form or its electronic equivalent. Use of the
modifier SA and documentation of the rendering care provider will assist UnitedHealthcare in
maintaining accurate data with regard to the types of practitioners providing services to our
members.
Are they wanting the mid level provider's NPI in this space since technically they would be considered the rendering provider?
Any clarification on this would be much appreciated!