[NPInfo] UAW/Delphi NPs/PAs out of network.

[Jeff and Linda Bocchetto]

We billed the same for several years, but were told as of August 1st, they 
will no longer accept ANY charges related to NP/PA visits. They have stated 
they will be auditing charts and will no longer allow this practice.
LindaB, NP


>From: Venda Kelley <vkrn at newwavecomm.net>
>Reply-To: NP Info <npinfo at nurse.net>
>To: NP Info <npinfo at nurse.net>, <jeffnp27 at yahoo.com>
>Subject: Re: [NPInfo] UAW/Delphi NPs/PAs out of network.
>Date: Thu, 31 Jul 2008 21:57:38 -0400
>
>The UAW issue is not new. We have many retired United Auto Workers in KY 
>who
>have BCBS and they have always been told not to see an NP. There are a few
>who will see me in a pinch and pay the fee.
>
>One of the best ways to "fix" this would be for the members to write 
>letters
>to their representatives and insist that NPs and PA be on the provider
>panels. I doubt that many members care one way or another and so that is
>probably not going to happen.
>
>It is true that since they are a self-insured entity under BCBS, they CAN 
>do
>anything they want.  I am also sure you are right and some physician is
>feeding them incorrect information about NPs and PA.
>
>I believe at one time our office was told that we could bill under the
>physician's number and be reimbursed. It is not incident-to because that
>only applies to Medicare. We kept the letter in a file just to be sure. On
>the rare occasion I need to see one of these members, we will bill that way
>and hold them to it.
>
>Venda Kelley, ARNP
>Somerset, KY
>
>
>
>
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