Quote Originally Posted by Erica1217 View Post
Unless the payor specifically says you MUST bill a new patient visit, then I agree with all the previous responses.

The type of insurance or changing of insurance has nothing do with whether a pt is a new pt or established patient.

If the provider performed a previous face-to-face service, the patient is now established.

Patients change insurance all the time. I suppose you could get away with billing a new patient visit whenever a patient changes insurance, because this payor would have no record of previous encounters.... but just because you can get away with it, does not make it right. Submitting a false claim is fraud.

Good luck!


I agree with Erica 100%....