[NPInfo] What a NP can do

[Paula Sumner]

Julie,
  Just curious, have you contactd your states attorney office or the state insurance overseer? Sometimes they help, esp if a law is being broken.
  Paula

juliemaddox at yahoo.com wrote:
  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" 

Date: Thu, 03 Jan 2008 18:29:43 
To:"NP Info" 
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" 
To: ; 
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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Paula J. Sumner RN, MSN, HTP, CHt
Healing Touch, Hypnotherapy, Emotional Freedom Technique, Reiki-2

919-969-9725

http://paulajsumner.byregion.net  Referral ID#10102918

http://www.justanswer.com/home.asp?r=HolisticNurse&bn=2

http://www.letstalkcounseling.com/sites/paulasumner
       
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