Submitting claims under Provider's SS#

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bel915
Posts: 22
Joined: Fri Aug 03, 2012 11:09 am

Submitting claims under Provider's SS#

Post by bel915 » Wed Mar 13, 2013 2:47 pm

Hi Gavin!
So we are trying to submit some claims dated back from JUly'12 to Medicare (TX), and at that time, this doc did NOT have a TAX ID?? The previous billing company that he had were able to get his claims paid using his social security.

So... We tried submitting these old claims through Availity via Medisoft and got them rejected stating that a TAX ID is required.

He now has a TAX ID (which now he is under a group NPI), but prior to September'2012, he was billing with his individual NPI and SS#.

Can you give me advise on how to submit these claims throught Medisoft WITHOUT Availity rejected them with his SS#? We have changed on the Practe IDs tab to his social security instead of his current TAX ID, and changed to 'individual' on Practice Type and 'person' on Entity Type as well.

We just don't know what to do now :(

Any help is greatly appreciated!

Belinda

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Gavin Walker
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Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
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Re: Submitting claims under Provider's SS#

Post by Gavin Walker » Wed Mar 13, 2013 2:56 pm

You probably need to call Medicare directly about this one.
Gavin Walker
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386

bel915
Posts: 22
Joined: Fri Aug 03, 2012 11:09 am

Re: Submitting claims under Provider's SS#

Post by bel915 » Wed Mar 13, 2013 3:10 pm

ok thanks.
So basically there's no way we can submit these claims w his ss# through medisoft/availity?

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Gavin Walker
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Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
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Re: Submitting claims under Provider's SS#

Post by Gavin Walker » Wed Mar 13, 2013 3:36 pm

Well, you will have to be enrolled with Medicare to submit claims under the SS# through Availity. That is probably not setup so your best bet will be to call and see if you can get a waiver to submit these on paper. Who knows, maybe your previous billing service was submitting these on paper as well.

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