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PCP vs Specialist

  1. #1
    Central Mississippi
    Default PCP vs Specialist
    Medical Coding Books
    Perhaps this has been presented before, I am unable to find it. When is a pediatrician considered a primary care provider versus a specialist? Some insurance companies have different copay amounts for specialists. This is for a new pediatric clinic opening soon.


  2. #2
    For the various pediatric offices I have worked for previously as a receptionist before I began coding we collected the PCP copay. They are the primary care provider.

  3. Default
    Primary Care

  4. #4

  5. Default
    They are a specialist after they have completed a subspecialty fellowship.

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