Local vs. state-specific insurance plan -- how to bill all to local?

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Rebecca Smith

• December 18, 2020 21:46

I am just starting to take on the insurance billing work for my practice (it was handled by a biller at my previous practice) and am quite confused about how to make sure I'm sending claims to the correct payer. I am in network with BCBS and my local office is BCBS of Louisiana. In my previous practice the biller told me that all patients with BCBS are billed to that local BCBSLA, even if their specific plan is in another state. How does this work if patients are inputting several different BCBS payers when they enter their own insurance information? 

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  Gillian

  • December 18, 2020 21:48

  Hi Rebecca, I'd be happy to help with this. You'll want to manually update client's insurance information to BCBSLA, so that their claims are routed correctly to the out-of-state payer. It's always a good idea to double-check client insurance information after it's been entered by the client through the Client Portal.

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  Rebecca Smith

  • December 18, 2020 21:54

  Thank you so much Gillian! I really appreciate it! Any idea why the payer ID in Simple Practice is "LABLS" and my previous biller said it was "23738"? It looks like LABLS is the only one in the Simple Practice system, and 23738 isn't found in the search. Wanting to make sure I'm clicking the right one.

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