jemfulke
Guest
Hi all,
I just replaced someone who was in over his head. It's a mess. My issue is that there was a name and address change to the clinic 5 years ago. The current scenario is this... All of our payer contracts are listed with the old provider name and address. Someone did demographic change forms, but never renegotiated or updated contracts with anyone, so our current clinic name is showing in Network, but the contracts and fee schedules are all registered to the old clinic name. EFT, bank account, everything else has been updated to new name and address as well.
Can I submit corrected claims with the former clinic name as the pay to provider (one the contracts reflect), and the current clinic name as the service facility since it is in network? They both have the same NPI and tax id. I have documentation of the name change with the Secretary of State of the former name to current. I am working on getting all our contracts and CMS updated to the current name and address, however, I need to continue to work these recoups and see what I can get done, so I am trying to find a way I can continue to submit claims and be confident the money will stay.
I just replaced someone who was in over his head. It's a mess. My issue is that there was a name and address change to the clinic 5 years ago. The current scenario is this... All of our payer contracts are listed with the old provider name and address. Someone did demographic change forms, but never renegotiated or updated contracts with anyone, so our current clinic name is showing in Network, but the contracts and fee schedules are all registered to the old clinic name. EFT, bank account, everything else has been updated to new name and address as well.
Can I submit corrected claims with the former clinic name as the pay to provider (one the contracts reflect), and the current clinic name as the service facility since it is in network? They both have the same NPI and tax id. I have documentation of the name change with the Secretary of State of the former name to current. I am working on getting all our contracts and CMS updated to the current name and address, however, I need to continue to work these recoups and see what I can get done, so I am trying to find a way I can continue to submit claims and be confident the money will stay.