Hi Felicia. So wish I would have seem this video before we submitted to Horizon BCBS directly through Simple Practice. So now I’m guessing this claim will be denied. We are in PA, the client is living in PA with Horizon BCBS insurance. Should we wait to see the claims outcome before resubmitting this claim to Highmark BCBS? (Or you think Simple Practice would catch our error and redirect the claim in the correct direction?) As always your help is appreciated. 2:06
Hi! Likely the claim will be denied. It isn't typical that they would send to the local plan upon receipt. You can wait for the outcome or just submit to Highmark from now. If anything, the claim would show as a duplicate and only one would pay out.
I’ll go ahead and submit to Highmark BCBS. Was also curious to see if Simple Practice would notice and forward to Highmark. Simple Practice seems to try to work out bugs when they are flagged if they can. We are planning to send a request for a meeting time/month with you for some guidance. I have other questions too now that we are submitting to insurance and the client base is growing. Thank you. Your videos are also so great to watch and thoughtful, realizing and highlighting the things that can come up on the day to day
@@KayByrnes-r6b Typically they won't forward the claim to another payer. They are primarily scrubbing the claim for errors before it is sent. Thanks for the feedback :)
Thank you so much for this video!! If I am understanding correctly, I need to apply to each insurance company in the states I am servicing clients. So if I see MN clients but my practice is in CO, I need to apply with Blue Cross and Blue Shield of Minnesota but can bill locally through Anthem Blue Cross and Blue Shield Colorado. Is this correct? Or does that only apply to when there are multiple plans per state?
Great question. If you have a practice in CO, you would want to make sure you are in network with Anthem Blue Cross and Blue Shield Colorado. If your patient was in MN and has Blue Cross and Blue Shield of Minnesota, you would bill your local which is Anthem Blue Cross and Blue Shield Colorado
I just wanted to thank you for posting your videos. They are so helpful! I came across your page this evening and will be keeping up from now on.
Thanks for watching and I am glad the videos have been helpful :)
Hi Felicia. So wish I would have seem this video before we submitted to Horizon BCBS directly through Simple Practice. So now I’m guessing this claim will be denied. We are in PA, the client is living in PA with Horizon BCBS insurance. Should we wait to see the claims outcome before resubmitting this claim to Highmark BCBS? (Or you think Simple Practice would catch our error and redirect the claim in the correct direction?) As always your help is appreciated. 2:06
Hi! Likely the claim will be denied. It isn't typical that they would send to the local plan upon receipt. You can wait for the outcome or just submit to Highmark from now. If anything, the claim would show as a duplicate and only one would pay out.
I’ll go ahead and submit to Highmark BCBS. Was also curious to see if Simple Practice would notice and forward to Highmark. Simple Practice seems to try to work out bugs when they are flagged if they can. We are planning to send a request for a meeting time/month with you for some guidance. I have other questions too now that we are submitting to insurance and the client base is growing. Thank you. Your videos are also so great to watch and thoughtful, realizing and highlighting the things that can come up on the day to day
@@KayByrnes-r6b Typically they won't forward the claim to another payer. They are primarily scrubbing the claim for errors before it is sent. Thanks for the feedback :)
Thank you so much for this video!! If I am understanding correctly, I need to apply to each insurance company in the states I am servicing clients. So if I see MN clients but my practice is in CO, I need to apply with Blue Cross and Blue Shield of Minnesota but can bill locally through Anthem Blue Cross and Blue Shield Colorado. Is this correct? Or does that only apply to when there are multiple plans per state?
Great question. If you have a practice in CO, you would want to make sure you are in network with Anthem Blue Cross and Blue Shield Colorado. If your patient was in MN and has Blue Cross and Blue Shield of Minnesota, you would bill your local which is Anthem Blue Cross and Blue Shield Colorado
@@mydietitianjourney thank you so much. This was so helpful!