December 2021 Billing Newsletter |MD Medical Group

PARTICIPATION REMINDERS
W E C U R R E N T L Y D O N O T P A R T I C I P A T E W I T H :
A E T N A M E M O R I A L H E R M A N
C I G N A F O C U S
P A L M E T T O ( R A I L R O A D M E D I C A R E )
W E A R E N O T I N C O N T R A C T W I T H O U T O F S T A T E M E D I C A R E P L A N S
We are only PAR with the Medicaid product for Cigna Healthsprings.
So please make sure you verify benefits! We will notify you when our providers are PAR with the
Medicare product.
Before using BCBS HMO plan we need to check the member benefits with the individual providers
NPI that Will be seeing the member, since we must be their PCP.
None of our DFW locations should see patients who have TCHP, only Houston Providers are PAR
with this plan.
CREDENTIALING
U t i l i z e t h e M C O g r i d t o k n o w w h i c h p a y e r w e a r e P A R w i t h .
I f y o u d o n o t s e e a p a y e r l i s t e d p l e a s e c a l l a n d v e r i f y b e n e f i t s f o r t h e
s e r v i c i n g p r o v i d e r t o d e t e r m i n e i f t h e p a t i e n t h a s i n / o u t o f n e t w o r k b e n e f i t s .
I M P O R T A N T I N F O R M A T I O N
Patients with
balance
Please allow to pay at the
clinic. We should never
turn patients that want to
make a payment away.
Questions about balance – Billing dpto. 972-957-3000 option 2.
Payment by phone – Patient Payment Collectors: Nuvia Lucio
ext. 8124
Patient Collections phone number – 1 800 711 6521
Medical Record Requests need to be sent to – Email:
mdmedical@dmrs.net / Fax (213) 225-5070 / Phone (800) 359-
8520
Patient refurnds
need an allowance period of 30 days to complete processing.
LOCCUMS : Make sure progress note is signed and scanned, the correct template is used
(acute / preventive), if correct template is needed, please ask RDO. Locums should never
see Medicare patients.