If a Rendering Provider terminates his/her services to group, how can we still get paid for the services provided by different providers within the Group?

This is a common question that most of the providers ask. Many of Group Owners are reluctant to know that if the provider has terminated his/her services to the group than, how they’ll get the reimbursements for the patients?

You need to keep in mind that, every individual provider within the group act like Individual Provider (Rendering Provider), while his/her role is limited to only providing services to the patients. A Group acts like a Billing Provider in most of the cases and whatever the reimbursements comes from the insurance payers, falls under the Group.

Also Read: How to Bill Under a Group Practice?

Whenever an individual provider terminates his/her services to the group, all you need to do is to credential a new provider within the group and you’ll be able to submit all your claims under the new provider NPI within the same Group Information.

Was this article helpful?

Related Articles

Leave A Comment?