All claims submitted to HNS must include the name of the provider that actually rendered the chiropractic services that are reported on the claim(s).
Exception: services provided by a locum tenens provider as described above.
If you are in a group practice with more than one provider or share call coverage with other providers, it is imperative that you take special care to assure 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, please contact your HNS Provider Rep and she will assist you in correcting this. Your prompt recognition of this error and your immediate correction of the error can reduce payor concerns of suspected fraud and abuse.
New Associate/Partner - Chiropractor
If you have hired a new associate and he/she is not yet credentialed with HNS, you cannot submit claims in your own name for services provided by this new physician.If you have hired a new associate, please contact HNS immediately so that we can assist with credentialing this provider. Please note, until the provider is credentialed by HNS, he/she must not provide any services to a patient whose insurance processes through HNS.
It is illegal to bill for services that you did not personally provide, unless such services were provided by a locum tenens provider when you were out of the office.