When an insurance claim is submitted, the rendering provider’s name/signature is an attestation that he/she provided the services reported on the claim form. If you are in a group practice or share call coverage with other providers, please make certain of the accuracy of the rendering provider’s name for each claim submitted. If you discover that a claim (or claims) was submitted incorrectly with the wrong rendering provider’s name, you must promptly correct the error. Please contact your HNS Provider Representative and she will assist you in correcting this. Your prompt recognition of this and your immediate correction can reduce payor concerns of suspected fraud and abuse.
All providers must be in the HNS Network
If you are in a group practice (a practice with more than one provider filing claims under the same tax ID (EIN)) and/or are considering hiring an additional provider, HNS Credentialing Policies, and the policies of HNS contracted payors, require that all providers in a group practice be part of the HNS network, or none of the providers in the group practice can be in the network.
This is largely to avoid confusion for patients who attempt to obtain care from an "in-network" provider.
Independent Contractors
Independent contractors (who file claims under their own EIN) who practice in the office of an HNS provider are not required to participate in the HNS network.