This isn’t something really an issue a biller can take care of.

 

It will most likely need to be handled by your person who negotiates the terms & prices of your contracts with insurance companies (financial person maybe?) &/or your legal department.

 

We have 3 companies under one & we all have separate NPI #’s for each of us.

 

 

 

 

I am wondering if anyone has any ideas or experience with a problem I am having with DHS revalidation. We operate two home care locations under 1 NPI. We bill everything under one address. During our revalidation, DHS noted that we have two addresses and did a site visits to our sister branch who operates under us. That office had their status pended with DHS and could not process claims. Now, however I cannot submit batches to DHS, all the claims are denying for something wrong with our provider ID. I can manually enter them under our address and they will process to pay. I cannot manually enter our sister office’s claims under either location because validation says there is something wrong with the provider ID. I have made several calls to DHS they say we cannot have two locations under the same NPI. They do not address how this all of a sudden changed. We have two different addresses the same as always. Then they say we need two different taxonomy codes which is also wrong. I have asked provider service reps to open a work order and they won’t. However a tech contact said they cannot help us without a work order. I have been disconnected from and never called back, ignored, and refused the help I need from PROVIDER SERVICE HELP desk. Do any of you have any ideas how I can get through to someone with any knowledge of how to help me?