Can I Submit Claims to Insurances from the First Day as an In-Network Provider After Purchasing an Established Medical Practice?

It depends on whether you are using the existing Tax ID or a new Tax ID:

Submitting Claims Under the Established Tax ID:

    • If you are using the same Tax ID and the same providers are still part of the group, you can continue submitting claims to insurances as before.
    • For any new providers, you only need to link them to the group with the respective payers.

    Submitting Claims Under a New Tax ID:

      • If you are operating as a new entity with a new Tax ID, you must complete the enrollment process for the new Tax ID and all individual providers with the insurances you wish to work with.
      • This involves submitting all required documentation and waiting for approval before you can bill as an in-network provider.

      In both cases, ensure compliance with payer-specific rules and regulations to avoid claim denials or delays.

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