[NPInfo] What a NP can do

[Barbara C. Phillips]

Hi Julie,

Perhaps it's a state thing. I'm in WA (in my own office) and am credentialed
and get paid by Cigna.

Barbara C. Phillips, NP
www.NPBusiness.ORG 



-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
Of juliemaddox at yahoo.com
Sent: Thursday, January 03, 2008 6:38 PM
To: NP Info
Subject: Re: [NPInfo] What a NP can do

I am the np referred to that is on bcbs as a provider. I am selfemployed and
bill all insurance companies directly (not under md) and get paid. It has
been an uphill battle and took me years to accomplish as insurance companies
just either don't honestly know what to do with us or don't want to
recognize us. Medicare and medicaid are light years ahead of them
reimbursuring me directly for many many years. The one and only insurance
company I am not on is cigna. They even put in writing that they do not
recognize nor credential np's independently which is illegial in the state
of tx. I contacted my np organization of which I am a member via email and
phone sending supporting documentation of what cigna was doing asking for
their help. They never responded. I was so disapointed. Then I hired a
lawyer to help me. For months I have never seen such a run a round in
writing btwn cigna and the lawyer. She told them what they were doing was
illegal and essentially they are a big cor!
 peration and really don't care. I finally gave up as I just couldn't
financially afford the lawyer anymore. If anyone out there has any
suggestions I am open. Meanwhile I am grateful for all my other wins with
insurance companies. Just thought I'd share with ya'll.
Sent from my Verizon Wireless BlackBerry

-----Original Message-----
From: "doc" <funnyfarm10 at verizon.net>

Date: Thu, 03 Jan 2008 18:29:43 
To:"NP Info" <npinfo at nurse.net>
Subject: Re: [NPInfo] What  a NP can do


Shelby: A friend of mine in Texas..an FNP, fought BC/BS in Texas until they 
finally added her as a provider.  So one must be tenacious!  Pat M
----- Original Message ----- 
From: "Shelby Havens" <shelbyhavens at hotmail.com>
To: <suernfnp at iwon.com>; <npinfo at nurse.net>
Sent: Thursday, January 03, 2008 6:20 PM
Subject: RE: [NPInfo] What a NP can do




Actually, he would have a very valid point in Florida. The largest health 
insurance company down here is Blue Cross Blue Shield of Florida, and they 
do not contract with nurse practitioners. Everything gets billed "incidental

to" the physician's work. A nurse practitioner cannot earn money for a 
physician's practice under this arrangement.

Best Regards,

Shelby Havens, ARNP

  > To: npinfo at nurse.net> From: suernfnp at iwon.com> Date: Thu, 3 Jan 2008 
19:13:03 -0500> Subject: [NPInfo] What a NP can do> > > Alfredo, I agree 
with you that most docs still do not understand what a NP can bring to their

practice. I left my hospital position today and took a full time job with my

retail clinic. One of the docs I work with at the hospital asked why I was 
leaving and I said "because you didn't offer me a job" joking a little with 
him. He answered seriously, "I can't afford to pay you!" I told him he 
needed to reframe the idea and think how much money I could EARN for his 
practice. But he still doesn't get it. > > Sue D in MI> > > > > 
_______________________________________________> > > 
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NPInfo at nurse.net> http://lists.nurse.net/mailman/listinfo/npinfo> 
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