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Temporary Insurance contract Anthem EAP

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  • Official comment
    Ruth

    Hi Heather, you'll want to confirm the proper way to bill the client's EAP with the insurance payer directly. Billing EAPs in SimplePractice varies from payer to payer, as some payers allow you to bill them directly, some require you to add a modifier, while other customers bill EAP claims directly through the payer's online portal. Here are some questions you'll want to ask the client's Anthem EAP:

    1. Should the claims be submitted to Anthem and the same payer ID?

    2. Is the client's Anthem EAP member ID than their normal Anthem insurance member ID?

    3. Should the claim be resubmitted as a corrected primary claim, a new primary claim, or a secondary claim?

    If you need additional assistance after asking these questions to the payer, our Insurance Team will be happy to help. You can reach out to them by submitting an email Help Request
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