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by Tracy
(New Jersey)
I recently obtained my first client. I am new at this so I need all the help I can get. The APN is just starting out and does not know anything about billing (how much to charge for services). How do I get access to the fee schedules, benefits and eligibility from the insurance companies. I your assistance will be greatly appreciated.
Response:
Each insurance company has their own fee schedule for what they pay a provider depending on their contract. There are so many and they change so routinely that any links to the major insurance payers would soon be out of date.
You typically have to get it from their website which usually involves creating a provider account. If your provider already has a contract with them, they may already have an account.
Medicare posts their fee schedule on their website (cms.gov). Just go to their website and search for "physician fee schedule" to get the latest. They also have a fee schedule look up tool.
Hope this helps - Thanks!
Comments for New Client Needs Help With Fee Schedule
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Mar 31, 18 09:47 AM
Besides networking .. visiting their offices, how else can you attract their business? When you close the collections month, how do you bill the physicians?
Mar 31, 18 09:36 AM
I have a potential client that is requested claim scrubbing resolutions (only corrections on claims submission errors) and insurance verification on the
Mar 31, 18 09:28 AM
The provider that I bill for just advised that he has a new tax ID. What is the process for this change? Would every insurance company need to be contacted?
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