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Thread Topic: Non-Par Provider???
Topic Originator: Pam
Post Date July 6, 2008 @ 11:03 AM
Non-Par Provider???


Pam
July 6, 2008 @ 11:03 AM Reply  |  Email Friend   |  |Print  |  Top

Hi,  I've been billing for years but have never come across a provider who is not a "Medicare" provider.  This physical therapist is interested in  having his claims submitted electronically via outsourcing.  I feel really stupid, but what if he is not in network with any insurance carriers?  I realize that the patient doesn't get the lower coinsurance benefits in some cases, etc.  But, can someone enlighten me on a provider in Massachusetts without any network relationships?  Thanks in advance.

ptbilling
July 6, 2008 @ 8:32 PM Reply  |  Email Friend   |  |Print  |  Top

Pam,

did you ask your provider if he was in network with any other insurance company or why he wants to outsource? hi might be a new PT opening a new practice and mybe need you to also do his credentialing...
lately, I had to work some denied claims and the provider was not in network with Medicare.



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