Rendering Provider Issues
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- Posts: 22
- Joined: Fri Aug 03, 2012 11:09 am
Rendering Provider Issues
So i just found out today that my claims have been received with the wrong rendering provider to the insurance companies. They have been receiving them with the main doctor of the group. When we post the charges, we do add the rendering doctor on the charge line.
What are we doing wrong?
Thanks for your help.
Belinda
- Gavin Walker
- Posts: 4625
- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
- Contact:
Re: Rendering Provider Issues
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386
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- Posts: 22
- Joined: Fri Aug 03, 2012 11:09 am
Re: Rendering Provider Issues
I checked the settings on individual's PIN grid, and it does have the individual NPI correct and also have it set up as file claim as group. I also checked the Practice PIN's grid and there i also have the practice set as group and non-person. Although i didnt have the NPI group number on the NPI box of the practice grid... could that have been the cause of this?
I did notice though that I have on the individual provider list on the tab "reference", i have set up on 'provider class' the group npi??
Is that suppose to stay there?
I upgraded to version 16 a few months ago and I didnt have this issue before.
Hope to hear from you soon!
Thanks
- Gavin Walker
- Posts: 4625
- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
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Re: Rendering Provider Issues
The conversion process to convert the old PINs grid to the new one on version 16 does not do a very good job. We usually find it is easier to delete them all and setup the provider ids again. To do this, press CTRL-Del to delete all rows out of the PINs grid. Then setup your "All" record for how you typically do your billing. Add any override rows for individual insurance exceptions. Setup the individual NPI on all provider ID records and indicate whether to file claims as group or individual as necessary. Fill out all information on all records that you setup.
Then do the same thing for your practice ids grid except setup group NPI on all these records.
You will also want to double check your facility ids and referring provider ids if you have any of those.
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- Posts: 22
- Joined: Fri Aug 03, 2012 11:09 am
Re: Rendering Provider Issues
I deleted the provider id's and created them again, although it didnt let me delete the main doctor since its used on the assigned provider on the case tab.
Any other suggestions you might recommend me?
- Gavin Walker
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- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
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Re: Rendering Provider Issues
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- Posts: 22
- Joined: Fri Aug 03, 2012 11:09 am
Re: Rendering Provider Issues
But I finally figured out what we were doing wrong, when we create claims, we were NOT choosing the attending provider, it was creating the claims under the assigned provider.
I appreciate and time for answering my questions.
Have a great and restful weekend!
Belinda
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- Posts: 4
- Joined: Wed Jan 23, 2013 8:10 pm
Re: Rendering Provider Issues
It only seems to be using the incorrect information when I am entering tranactions for a patient who was previously beeing seen by the other provider. In other words if the new provider starts with the patient, the problem doesn't exist.
- Gavin Walker
- Posts: 4625
- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
- Contact: