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Filed under: "Doctors Only", Career Development, Ethics, Experts Invited, Health Insurance, Health Law & Policy, Healthcare Finance, Insurance Matters, Risk Management, Videos | Tagged: customer service, customerservice health insurance, Eric Briker MD, Health Insurance, health insurance claims, insurance claims, rapid resolutions team | Leave a comment »
Victory at Last
[By Darrell K. Pruitt; DDS]
Every now and then, I enjoy little victories. My war with BCBS-TX started when they began declining to pay their clients’ claims if they originated in my office. Since I’m not a HIPAA-covered entity, I didn’t volunteer for an arbitrary National Provider Identification number.
The behemoth insurance company not only successfully drove away some of my long term patients, but their clever policy blocked my access to their pool of clients who were led to believe their dental insurance was good everywhere – until my office manager had to tell them otherwise. BCBSTX is a sleazy company simply because it lies to its clients as policy.
Successful Claims
In the last two weeks, my office manager has successfully filed a couple of claims and it appears that unless payment is blocked in the next day or so, BCBSTX no longer requires Texas dentists to have NPI numbers.
Asessment
That’s nice, but I want more. I want the state CHIP program to drop its NPI requirement as well. Why limit access to dental care to the poor because of a number that only helps insurers. I’m just getting started, Texas.
Conclusion
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Filed under: Health Insurance, Health Law & Policy, Information Technology, Managed Care, Pruitt's Platform | Tagged: BCBSTX, Darrell Pruitt, DDS, dentists, health insurance claims, HIPAA, National Provider Identification number, NPI, Texas CHIP | 3 Comments »
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