Can practice bill under a supervising physician while credentialing is in process?
• Aetna: Physicians should not be seeing Aetna members until approved by the Credentialing committee. • Anthem: Only if it is a NP or PA, no other specialty can bill under the supervising physician for Anthem. • MMO: Yes • UHC: A provider must first be successfully credentialed before contracts are offered. There are a few states that have specific regulatory language that would allow a new provider to an established group to bill only after select credentialing elements have been verified. This process does not involve a variation in the NCC’s processes, but has more impact with claims. 9. Why can’t carrier’s mental health/behavior health benefits be displayed on cards? It complicates things when you don’t know who to call in regards to prior auth. • Aetna: This information can be given to providers at the time you are verifying benefits for Behavioral Health. The Member ID card has limited space for posting information. • Anthem:Several Anthem product lines do have the behavioral hea
