I bill Highmark with group tax ID #, we have 3 different providers of service-1 physician, 1 nurse practicioner and 1 PA. Claims get processed and a specialty copay gets applied to PA, NP claims and PCP copay for the physician. I’ve been trying to get Highmark to process all claims with the same copay applied to all claims because patients don’t want to pay a different copay each time they come depending on which provider they see. I’ve been over a year back and forth with provider relations and can’t seem to come to any logical solution. Any suggestions? Thanks for your input.
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